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Vena Cava and Pancreatic head En Bloc Resection for an Invasive Inferior Vena Cava Leiomyosarcoma in a Liver Transplant Patient.
Pitombo, Marcos Bettini; Goumard, Claire; Lim, Chetana; Sancio, João Bernardo; Mazzola, Alessandra; Prat, Frédéric; Vaillant, Jean-Christophe; Conti, Filomena; Perdigao, Fabiano.
Afiliação
  • Pitombo MB; APHP, Unité de Chirurgie Hépatobiliaire et Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France; Department of General Surgery, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Goumard C; APHP, Unité de Chirurgie Hépatobiliaire et Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France; Sorbonne Université, INSERM, Institute of Cardiometabolisme and Nutrition (ICAN), Paris, France; Sorbonne Université, INSERM, Centre de recherche Saint-Antoine (CRSA), Par
  • Lim C; APHP, Unité de Chirurgie Hépatobiliaire et Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France.
  • Sancio JB; APHP, Unité de Chirurgie Hépatobiliaire et Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France.
  • Mazzola A; APHP, Unité Médicale de Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France.
  • Prat F; APHP, Service d'Endoscopie, Hôpital Beaujon, Clichy, France; Université de Paris, Paris, France.
  • Vaillant JC; APHP, Service de Chirurgie Digestive, Hépato-Bilio-Pancreatique et Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France; Sorbonne Université, Paris, France.
  • Conti F; APHP, Unité Médicale de Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France; Sorbonne Université, INSERM, Institute of Cardiometabolisme and Nutrition (ICAN), Paris, France; Sorbonne Université, INSERM, Centre de recherche Saint-Antoine (CRSA), Paris, France.
  • Perdigao F; APHP, Unité de Chirurgie Hépatobiliaire et Transplantation Hépatique, Hôpital Universitaire la Pitié Salpêtrière, Paris, France. Electronic address: fabiano.perdigao@aphp.fr.
Clin Res Hepatol Gastroenterol ; 45(6): 101609, 2021 11.
Article em En | MEDLINE | ID: mdl-33662783
BACKGROUND: De novo neoplasms are one of the major causes of death in patients after the first year of liver transplantation. The occurrence of sarcomas is extremely rare and the survival is often poor. However, early diagnosis and radical surgical treatment, may benefit some select liver transplant patients. METHOD: We describe the case of a liver transplant patient who developed a locally advanced inferior vena cava (IVC) leiomyosarcoma, who underwent radical surgical treatment with resection of the IVC associated with duodenopancreatectomy, right nephrectomy, and IVC reconstruction. We address aspects of the diagnosis and surgical strategy. CONCLUSION: This case report illustrates that IVC and multivisceral resections may be feasible and safe in highly selected liver transplant recipients. Major surgery should not be excluded as treatment option in an immunosuppressed liver transplant patient.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pâncreas / Veia Cava Inferior / Neoplasias Vasculares / Leiomiossarcoma Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pâncreas / Veia Cava Inferior / Neoplasias Vasculares / Leiomiossarcoma Idioma: En Ano de publicação: 2021 Tipo de documento: Article