Synchronous small bowel and atypical primary leiomyosarcoma of inferior vena cava in a patient with RB1 mutation

Sachin S. Saboo, Nikhil Ramaiya, Heather Jacene, Irene Rainville, Lisa Diller, Jason L. Hornick, Suzanne George

Research output: Contribution to journalArticle

Abstract

A 72-year-old Caucasian man presenting with non-specific upper abdominal pain had asymmetric soft tissue thickening of the small bowel wall on computed tomography (CT), which was pathologically proven to be leiomyosarcoma (LMS). At the same time point patient had incidentally but retrospectively detected lesion in IVC on CT scan which was subsequently imaged with PET/CT and MRI and was histologically proven to be also LMS. We present clinical and imaging features along with pedigree of this unique case of synchronous primary LMS involving the small bowel and inferior vena cava in a patient with RB1 gene mutation and a significant family history of multiple malignancies. To our knowledge, the synchronous primary LMS at two different sites has not been described. Clinicians and radiologists should keep in mind the possibility of a synchronous primary LMS in patients with genetic predisposition before making the diagnosis of a metastatic lesion or other malignancy as localized primary tumors remain potentially curable, whereas metastatic sarcoma is most often incurable.

Original languageEnglish (US)
Pages (from-to)33-39
Number of pages7
JournalAbdominal Imaging
Volume39
Issue number1
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Leiomyosarcoma
Inferior Vena Cava
Mutation
Tomography
Neoplasms
Pedigree
Genetic Predisposition to Disease
Sarcoma
Abdominal Pain
Genes

Keywords

  • CT
  • Leiomyosarcoma
  • MRI
  • RB1 mutation

ASJC Scopus subject areas

  • Gastroenterology
  • Urology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Medicine(all)

Cite this

Saboo, S. S., Ramaiya, N., Jacene, H., Rainville, I., Diller, L., Hornick, J. L., & George, S. (2014). Synchronous small bowel and atypical primary leiomyosarcoma of inferior vena cava in a patient with RB1 mutation. Abdominal Imaging, 39(1), 33-39. https://doi.org/10.1007/s00261-012-9904-4

Synchronous small bowel and atypical primary leiomyosarcoma of inferior vena cava in a patient with RB1 mutation. / Saboo, Sachin S.; Ramaiya, Nikhil; Jacene, Heather; Rainville, Irene; Diller, Lisa; Hornick, Jason L.; George, Suzanne.

In: Abdominal Imaging, Vol. 39, No. 1, 2014, p. 33-39.

Research output: Contribution to journalArticle

Saboo, SS, Ramaiya, N, Jacene, H, Rainville, I, Diller, L, Hornick, JL & George, S 2014, 'Synchronous small bowel and atypical primary leiomyosarcoma of inferior vena cava in a patient with RB1 mutation', Abdominal Imaging, vol. 39, no. 1, pp. 33-39. https://doi.org/10.1007/s00261-012-9904-4
Saboo, Sachin S. ; Ramaiya, Nikhil ; Jacene, Heather ; Rainville, Irene ; Diller, Lisa ; Hornick, Jason L. ; George, Suzanne. / Synchronous small bowel and atypical primary leiomyosarcoma of inferior vena cava in a patient with RB1 mutation. In: Abdominal Imaging. 2014 ; Vol. 39, No. 1. pp. 33-39.
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