Leiomyosarcoma of the Inferior Vena Cava: A Case Report

Leiomyosarcomas (LMS) are mesenchymal neoplasms that arise from smooth muscle cells, which less frequently occur in veins. Commonly, leiomyosarcoma accompanied with necrosis and cystic degeneration, which noted as non-enhanced areas on radiological examinations were seen frequently in the literature. We present a rare case of a leiomyosarcoma arising from the inferior vena cava, invading into the right atrium, found accidentally in a 46-year-old male who clinically manifested as progressive dyspnea on exertion. Radiological examinations showed a moderate heterogeneous enhancement tumor followed with foci of non-enhancement area in the central, which was not definitely in line with the pathological findings. The imaging features and differential diagnosis of the tumor are outlined here.