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Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium.

ABSTRACT: Gynecological carcinosarcomas are aggressive tumors with rare occurrence and high rates of metastases. We present the case of a 49-year-old woman with vaginal bleeding and abdominal distension who was found to have a large ovarian carcinosarcoma invading the gonadal vein and inferior vena cava (IVC) and extending into right atrium (RA). She underwent gynecologic tumor resection, IVC cavotomy and en bloc resection of tumor/thrombus through the RA. Use of intraoperative transesophageal echocardiography helped assess extent and mobility of mass in the RA to guide surgical approach. This case posed unique challenges with regard to management of induction, hemodynamics and coagulopathy.

SUBMITTER: Merchant AM

PROVIDER: S-EPMC7765710 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium.

Merchant Akeel M AM Friedland Mark D MD Behrens Marcus A MA Williams Adam R AR Berchuck Andrew A Guinn Nicole R NR

Journal of surgical case reports 20201226 12

Gynecological carcinosarcomas are aggressive tumors with rare occurrence and high rates of metastases. We present the case of a 49-year-old woman with vaginal bleeding and abdominal distension who was found to have a large ovarian carcinosarcoma invading the gonadal vein and inferior vena cava (IVC) and extending into right atrium (RA). She underwent gynecologic tumor resection, IVC cavotomy and en bloc resection of tumor/thrombus through the RA. Use of intraoperative transesophageal echocardiog ...[more]

PMID: 33391655