Primary leiomyosarcoma of inferior vena cava, a rare entity: Imaging features

Australas Radiol. 2001 Nov;45(4):448-51. doi: 10.1046/j.1440-1673.2001.00955.x.


Leiomyosarcoma of the inferior vena cava (IVC) is an uncommon neoplasm, most frequently seen in the sixth decade with a female predominance. Imaging modalities allow an early and accurate preoperative diagnosis resulting in a higher rate of surgical resection and improved survival. Imaging findings in a 65-year-old woman with leiomyosarcoma of IVC are described. Computed tomography and MRI typically showed a non-fatty, necrotic intraluminal IVC mass with extension to retroperitoneal compartments. Cavography was useful to evaluate the collateral circulation associated with the extensive intraluminal mass. The lesion was biopsied under ultrasound guidance.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Female
  • Humans
  • Leiomyosarcoma / diagnosis
  • Leiomyosarcoma / diagnostic imaging*
  • Magnetic Resonance Imaging
  • Tomography, X-Ray Computed
  • Vascular Neoplasms / diagnosis
  • Vascular Neoplasms / diagnostic imaging*
  • Vena Cava, Inferior / diagnostic imaging*