ABSTRACT
Malignant tumors arising in deep veins of the lower extremities are very uncommon. To our best knowledge, this is the seventh case of a primary venous intravascular synovial sarcoma (SS) reported in literature. A 32-year-old woman was admitted with a second episode of deep venous thrombosis of the right lower limb and pulmonary embolism. Physical and radiological examinations showed besides the thrombosis a tumor arising from the right common femoral vein involving the bifurcation of the common femoral artery. At surgery, en block resection of the tumor including the deep femoral vein and arterial bifurcation was done with an arterial reconstruction using a synthetic graft. Histopathological examination revealed an intravascular SS of the common femoral vein. The mainstay of curative therapy is complete surgical resection of all tumor manifestations with negative histological margins.
Subject(s)
Femoral Vein/pathology , Pulmonary Embolism/etiology , Sarcoma, Synovial/complications , Vascular Neoplasms/complications , Venous Thrombosis/etiology , Adult , Anticoagulants/therapeutic use , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Blood Vessel Prosthesis Implantation , Chemotherapy, Adjuvant , Epirubicin/administration & dosage , Female , Femoral Vein/surgery , Humans , Ifosfamide/administration & dosage , Pulmonary Embolism/diagnosis , Pulmonary Embolism/therapy , Sarcoma, Synovial/pathology , Sarcoma, Synovial/therapy , Stockings, Compression , Treatment Outcome , Vascular Neoplasms/pathology , Vascular Neoplasms/therapy , Venous Thrombosis/diagnosis , Venous Thrombosis/therapyABSTRACT
Carcinomas of the lower esophagus, gastroesophageal junction or stomach rarely metastasize to the cervical lymph nodes. Furthermore, the parotid gland is an even more unusual site of metastasis from a carcinoma located at these sites. We describe the case of a 45-year-old male patient who was diagnosed 2 months after transhiatal gastroesophagectomy for a primary gastric adenocarcinoma with metastasis in the left parotid gland. In the literature we have only found one other case report.