Multidisciplinary Surgical Approach to a Locally Advanced Leiomyosarcoma of the Right External Iliac Vein.
Tommaso Partipilo, Carlo Abatini, Francesco Santullo et al.
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Case in brief
A 65-year-old patient presented with a locally advanced leiomyosarcoma of the right external iliac vein, which infiltrated the external iliac artery, ureter, and psoas major muscle. Following a multidisciplinary discussion, the patient underwent en bloc resection of the tumor along with the infiltrated structures. Postoperatively, a ureterovesical anastomotic leak occurred but was managed conservatively.
Diagnostic / clinical pearl
The case underscores the importance of a multidisciplinary surgical approach in managing locally advanced vascular leiomyosarcomas to optimize outcomes and minimize complications.
Why it matters
This case highlights the complexity of surgical interventions for high-grade leiomyosarcomas and the necessity for specialized care in referral centers.