Leiomyosarcoma of the great saphenous vein
A 56-year-old male patient presented with a complaint of two painful, hard, palpable nodules in the right lower limb. A Doppler ultrasound scan revealed the presence of nodules, likely to be neoplastic. Computed angiography showed two solid hypervascular nodules in the right great saphenous vein, fed by branches of the posterior tibial artery. Embolization of the nodules using surgical cyanoacrylate was performed, followed by an excisional biopsy. Anatomical pathology and immunohistochemical analysis identified the nodule as a high-grade leiomyosarcoma, characterized by ten mitotic figures per ten high-power fields, necrosis and cell pleomorphism. Immunohistochemical analysis results were positive for caldesmon and desmin labeling. A second surgical procedure was performed to enlarge the free margins.
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2015
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oai:scielo:S1677-544920150002001862015-08-20Leiomyosarcoma of the great saphenous veinAmato,Alexandre Campos MoraesSilva,Ana Júlia de DeusSantos,Ricardo Virgínio dosAmato,Salvador José de Toledo Arruda neoplasms vascular tissue neoplasms blood vessels A 56-year-old male patient presented with a complaint of two painful, hard, palpable nodules in the right lower limb. A Doppler ultrasound scan revealed the presence of nodules, likely to be neoplastic. Computed angiography showed two solid hypervascular nodules in the right great saphenous vein, fed by branches of the posterior tibial artery. Embolization of the nodules using surgical cyanoacrylate was performed, followed by an excisional biopsy. Anatomical pathology and immunohistochemical analysis identified the nodule as a high-grade leiomyosarcoma, characterized by ten mitotic figures per ten high-power fields, necrosis and cell pleomorphism. Immunohistochemical analysis results were positive for caldesmon and desmin labeling. A second surgical procedure was performed to enlarge the free margins.info:eu-repo/semantics/openAccessSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro v.14 n.2 20152015-06-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492015000200186en10.1590/1677-5449.0077 |
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Amato,Alexandre Campos Moraes Silva,Ana Júlia de Deus Santos,Ricardo Virgínio dos Amato,Salvador José de Toledo Arruda |
spellingShingle |
Amato,Alexandre Campos Moraes Silva,Ana Júlia de Deus Santos,Ricardo Virgínio dos Amato,Salvador José de Toledo Arruda Leiomyosarcoma of the great saphenous vein |
author_facet |
Amato,Alexandre Campos Moraes Silva,Ana Júlia de Deus Santos,Ricardo Virgínio dos Amato,Salvador José de Toledo Arruda |
author_sort |
Amato,Alexandre Campos Moraes |
title |
Leiomyosarcoma of the great saphenous vein |
title_short |
Leiomyosarcoma of the great saphenous vein |
title_full |
Leiomyosarcoma of the great saphenous vein |
title_fullStr |
Leiomyosarcoma of the great saphenous vein |
title_full_unstemmed |
Leiomyosarcoma of the great saphenous vein |
title_sort |
leiomyosarcoma of the great saphenous vein |
description |
A 56-year-old male patient presented with a complaint of two painful, hard, palpable nodules in the right lower limb. A Doppler ultrasound scan revealed the presence of nodules, likely to be neoplastic. Computed angiography showed two solid hypervascular nodules in the right great saphenous vein, fed by branches of the posterior tibial artery. Embolization of the nodules using surgical cyanoacrylate was performed, followed by an excisional biopsy. Anatomical pathology and immunohistochemical analysis identified the nodule as a high-grade leiomyosarcoma, characterized by ten mitotic figures per ten high-power fields, necrosis and cell pleomorphism. Immunohistochemical analysis results were positive for caldesmon and desmin labeling. A second surgical procedure was performed to enlarge the free margins. |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
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2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492015000200186 |
work_keys_str_mv |
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1756427828906164224 |