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Case Reports in Surgery
Volume 2013, Article ID 237391, 2 pages
http://dx.doi.org/10.1155/2013/237391
Case Report

Leiomyoma of the Greater Saphenous Vein Mimicking Inguinal Lymphadenopathy

12nd Department of Surgery, University Hospital Aretaieion, Attiki, 11528 Athens, Greece
2Department of Pathology, University Hospital Aretaieion, Attiki, 11528 Athens, Greece

Received 29 September 2013; Accepted 29 October 2013

Academic Editors: H. Imura, F. Marchal, and S. Tatebe

Copyright © 2013 Dionysios Dellaportas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Leiomyoma is a benign vascular tumor affecting the greater saphenous vein rarely. Proper histopathological examination sets the diagnosis after complete and wide surgical excision along with a normal portion of the GSV. Case Presentation. A 36-year-old woman was admitted to our hospital complaining of a dull ache on her right groin for the last three months, along with a palpable mass on the mentioned area. An ultrasound (U/S) scan revealed a solid mass measuring  cm. After wide surgical excision, pathological examination revealed a leiomyoma of the GSV. Discussion. Benign and mostly malignant tumors arising from the GSV are reported in the literature before. Diagnostic modalities and clinical examination cannot set a correct diagnosis preoperatively due to no specific characteristics of these tumors. Possible sarcomatous behaviour has to be kept in mind when treating tumors arising from a vessel wall and wide surgical excision as negative margins should be attempted.