Great saphenous vein leiomyosarcoma mimicking thrombosed aneurysm: A case report and review of the literature

Ammar Atieh; Hussein Allaw; Mohammad Ashouri; Mohammadreza Zafarghandi

doi:10.1016/j.jvscit.2023.101399

Great saphenous vein leiomyosarcoma mimicking thrombosed aneurysm: A case report and review of the literature

J Vasc Surg Cases Innov Tech. 2023 Dec 16;10(2):101399. doi: 10.1016/j.jvscit.2023.101399. eCollection 2024 Apr.

Authors

Ammar Atieh¹, Hussein Allaw², Mohammad Ashouri¹, Mohammadreza Zafarghandi¹

Affiliations

¹ Department of Vascular and Endovascular Surgery, Sina Hospital, Tehran University of Medical Science, Tehran, Iran.
² Department of Radiology, Namazi Hospital, Shiraz University of Medical Science, Shiraz, Iran.

Abstract

Vascular leiomyosarcoma LMS. is an extremely rare subgroup of LMSs. Fewer than 50 cases of LMS originating from the great saphenous vein have been reported. In 43% of reported cases, LMS was misdiagnosed clinically. In our case, the patient was initially misdiagnosed as having a thrombosed aneurysm. This misdiagnosis could be due to the rarity of great saphenous vein LMS cases, for which a high index of suspicion is needed, and because no specific radiologic findings have been established for diagnosing LMSs. Masses presenting along the course of vessels should be suspected for malignancy, which can be helpful in performing definitive surgery and avoiding multiple surgeries.

Keywords: Great saphenous vein; Leiomyosarcoma; Venous aneurysm.

Publication types

Case Reports