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Sarcoma
Volume 8 (2004), Issue 4, Pages 135-139
http://dx.doi.org/10.1155/S1357714X04000234

Leiomyosarcoma of the Great Saphenous Vein: A Case Report and Review of the Literature

Department of Surgery, Leyenburg Hospital, Leyweg 275, The Hague 2545 CH, The Netherlands

Copyright © 2004 Hindawi Publishing Corporation. 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: Leiomyosarcoma of the venous system is rare, even more so in the greater saphenous vein. In the 85 years since van Ree described the first case in 1919 only 25 cases have been reported in the world.

Methods: We describe a case of an 85-year-old woman who was successfully treated by excision of the tumour. We also reviewed pertinent literature with regard to age, gender spread, tumour size, survival, occurrence of metastases and therapy.

Results: The median age was 54 years (range 2–85 years), with a 3:2 female to male ratio. The median size of the tumours was 4.1 cm (range 2–12 cm) and metastases occurred in seven of the 25 cases. If any form of adjuvant therapy is used it is usually radiotherapy. Chemotherapy seems to be reserved for cases where metastasis occurs. Average survival was 4 years (range 1 month to 17 years). Currently the best treatment seems to be wide excision of the tumour, with selective vascular reconstruction combined with adjuvant radiotherapy.