LEIOMYOSARCOMA OF THE INFERIOR VENA-CAVA - A NEW CASE

A leiomyosarcoma was diagnosed in the midportion of the inter-renal in ferior vena cava. Survival was long (6 years) but required 14 reoperat ions to remove metastases.During the first operation, vascular integri ty was reestablished with a cava-cava prosthesis after exeresis of the upstream cava without removal of the left renal vein ostium. The righ t renal vein was sectioned and directly implanted onto the prosthesis. The pathology report confirmed the diagnosis of leiomyosarcoma with m ultiple metastases presenting cytonuclear anomalies which worsened wit h time.