Leiomyosarcoma of the axillary vein

Hossam Alslaim; Peter Drevets; Jane Chung; Kelly Homlar; Gautam Agarwal

doi:10.1016/j.avsurg.2021.100028

Leiomyosarcoma of the axillary vein

Hossam Alslaim, Peter Drevets, Jane Chung, Kelly Homlar, Gautam Agarwal

Research output: Contribution to journal › Article › peer-review

Abstract

This is a report of axillary vein leiomyosarcoma managed with surgical resection and adjuvant radiation therapy. A 61-year-old male with history of renal cell carcinoma and pharyngeal squamous cell carcinoma was found to have a left axillary mass on a follow-up Positron Emission Tomography–Computed Tomography (PET-CT). A biopsy demonstrated leiomyoma. The patient subsequently developed progressive neurological symptoms in the left upper extremity for which he underwent Magnetic Resonance Imaging (MRI) followed by surgical exploration. This showed a 3 cm globular mass originating from the axillary vein with no involvement of the adjacent nerves. The mass was resected en bloc with mobilization and primary reconstruction of the axillary vein. Final pathology analysis demonstrated high-grade venous leiomyosarcoma with clear margins.

Original language	English (US)
Article number	100028
Journal	Annals of Vascular Surgery - Brief Reports and Innovations
Volume	2
Issue number	1
DOIs	https://doi.org/10.1016/j.avsurg.2021.100028
State	Published - Mar 2022
Externally published	Yes

Keywords

Axillary sarcoma
Vascular leiomyosarcoma
Venous malignancy

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.avsurg.2021.100028

Cite this

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title = "Leiomyosarcoma of the axillary vein",

abstract = "This is a report of axillary vein leiomyosarcoma managed with surgical resection and adjuvant radiation therapy. A 61-year-old male with history of renal cell carcinoma and pharyngeal squamous cell carcinoma was found to have a left axillary mass on a follow-up Positron Emission Tomography–Computed Tomography (PET-CT). A biopsy demonstrated leiomyoma. The patient subsequently developed progressive neurological symptoms in the left upper extremity for which he underwent Magnetic Resonance Imaging (MRI) followed by surgical exploration. This showed a 3 cm globular mass originating from the axillary vein with no involvement of the adjacent nerves. The mass was resected en bloc with mobilization and primary reconstruction of the axillary vein. Final pathology analysis demonstrated high-grade venous leiomyosarcoma with clear margins.",

keywords = "Axillary sarcoma, Vascular leiomyosarcoma, Venous malignancy",

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T1 - Leiomyosarcoma of the axillary vein

AU - Alslaim, Hossam

AU - Drevets, Peter

AU - Chung, Jane

AU - Homlar, Kelly

AU - Agarwal, Gautam

PY - 2022/3

Y1 - 2022/3

N2 - This is a report of axillary vein leiomyosarcoma managed with surgical resection and adjuvant radiation therapy. A 61-year-old male with history of renal cell carcinoma and pharyngeal squamous cell carcinoma was found to have a left axillary mass on a follow-up Positron Emission Tomography–Computed Tomography (PET-CT). A biopsy demonstrated leiomyoma. The patient subsequently developed progressive neurological symptoms in the left upper extremity for which he underwent Magnetic Resonance Imaging (MRI) followed by surgical exploration. This showed a 3 cm globular mass originating from the axillary vein with no involvement of the adjacent nerves. The mass was resected en bloc with mobilization and primary reconstruction of the axillary vein. Final pathology analysis demonstrated high-grade venous leiomyosarcoma with clear margins.

AB - This is a report of axillary vein leiomyosarcoma managed with surgical resection and adjuvant radiation therapy. A 61-year-old male with history of renal cell carcinoma and pharyngeal squamous cell carcinoma was found to have a left axillary mass on a follow-up Positron Emission Tomography–Computed Tomography (PET-CT). A biopsy demonstrated leiomyoma. The patient subsequently developed progressive neurological symptoms in the left upper extremity for which he underwent Magnetic Resonance Imaging (MRI) followed by surgical exploration. This showed a 3 cm globular mass originating from the axillary vein with no involvement of the adjacent nerves. The mass was resected en bloc with mobilization and primary reconstruction of the axillary vein. Final pathology analysis demonstrated high-grade venous leiomyosarcoma with clear margins.

KW - Axillary sarcoma

KW - Vascular leiomyosarcoma

KW - Venous malignancy

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Leiomyosarcoma of the axillary vein

Abstract

Keywords

ASJC Scopus subject areas

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