Rare Case of a Tumor Causing Blood Clots in a Young Woman
Author Information
Author(s): Nelson Oliveira, Emanuel Dias, Ricardo Lima, Isabel Cássio
Primary Institution: Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
Hypothesis
Primary venous leiomyosarcoma can present as deep vein thrombosis in young patients.
Conclusion
Primary venous leiomyosarcoma of the iliac vein is a rare cause of deep vein thrombosis that should be considered in young patients with recurrent or treatment-resistant DVT.
Supporting Evidence
- The patient had a history of recurrent DVT and was under anticoagulation.
- Imaging failed to identify the underlying cause of the DVT until a biopsy was performed.
- The tumor was diagnosed as a pleomorphic leiomyosarcoma of vascular origin.
Takeaway
Sometimes, a blood clot can be caused by a rare tumor instead of just being a regular health issue. This study shows that doctors should check for tumors in young people who keep getting blood clots.
Methodology
The case study involved diagnostic imaging, biopsy, and treatment with anticoagulation and chemotherapy.
Limitations
The definitive diagnosis was delayed due to inconclusive imaging results.
Participant Demographics
A 37-year-old Caucasian female with a history of recurrent DVT.
Digital Object Identifier (DOI)
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