RESUMO
Vascular leiomyosarcomas are extremely rare, and involve veins 5 times more often than arteries. In the lower extremity, the great saphenous vein is the most frequent site of origin. We report the case of a healthy 45-year-old patient who presented with a painless mass located proximally in the right thigh in line with the great saphenous vein. At surgery, the treatment consisted of wide local excision. Histopathological studies confirmed mass as leiomyosarcoma. In light of this report, we draw attention to this rare disease, though with a poor prognosis.
Assuntos
Leiomiossarcoma/patologia , Veia Safena/patologia , Neoplasias Vasculares/patologia , Humanos , Leiomiossarcoma/diagnóstico por imagem , Leiomiossarcoma/cirurgia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Veia Safena/diagnóstico por imagem , Veia Safena/cirurgia , Resultado do Tratamento , Neoplasias Vasculares/diagnóstico por imagem , Neoplasias Vasculares/cirurgiaRESUMO
Aneurysms of the profunda femoris artery (PFA) are exceptionally rare but dreadful because of their high rate of rupture. In this report, we describe the case of a 70-year-old man presented to the emergency department with a ruptured PFA aneurysm. The patient underwent successful aneurysmorrhaphy and distal reconstruction with a vein graft.