Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2022 , Vol 31 , Issue 2
Vein-associated tumors: Our six-year surgical experiences in Başkent University Ankara Hospital
Deniz Şerefli1, Deniz Sarp Beyazpınar1, Bahadır Gültekin1, Atilla Sezgin1, Ali Ayhan2, Yüksel Cem Aygün3, Hüseyin Akıllı2, Hakkı Tankut Akay1
1Department of Cardiovascular Surgery, Başkent University Ankara Hospital, Ankara, Türkiye
2Department of Gynecologic Oncology, Başkent University Ankara Hospital, Ankara, Türkiye
3Department of Urology, Başkent University Ankara Hospital, Ankara, Türkiye
DOI : 10.9739/tjvs.2022.1280 Objectives: In this study, we present our surgical management strategy in inferior vena cava (IVC) vein-associated tumors and discuss clinical results.

Patients and methods: Between January 2014 and December 2020, a total of 16 vein-associated tumor cases (10 males, 6 females; median age: 56.3 years; range, 39 to 69 years) operated in our clinic were retrospectively analyzed. These tumors included 10 renal cell carcinomas (RCCs), two IVC leiomyomas, one IVC leiomyosarcoma, one right subclavian vein-associated lipoma, and one tumor with IVC compression due to right renal artery aneurysm.

Results: Ten of the patients were RCCs, of three were leiomyomas, of one was leiomyosarcoma, and of one was lipoma. The RCC constituted the majority of vein-associated tumors. The IVC involvement was present in all patients. Extracorporeal circulation was required in three (30%) of the RCC patients during the operation. During postoperative follow-up, venous thromboembolism development was observed in five patients, and two patients had IVC total thrombosis.

Conclusion: A multidisciplinary approach, such as the approach to RCC, can be applied in the management of large vein-associated tumors with low complication and mortality rates, particularly in benign lesions. Keywords : Carcinoma, leiomyoma, leiomyosarcoma, renal cell

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