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Ann Thorac Surg 1995;60:1415-1417
© 1995 The Society of Thoracic Surgeons
St. Luke's Methodist Hospital, Cedar Rapids, Iowa
Accepted for publication May 12, 1995.
A 40-year-old woman presented with facial swelling and pressure sensation of the ears and sinuses. Chest roentgenography revealed a right paratracheal mass, which was confirmed by a venogram, and transjugular biopsy showed low-grade leiomyosarcoma. The superior vena cava was resected and reconstructed using a spiral vein graft. Pathologic evaluation revealed a low-grade leiomyosarcoma arising from both the superior vena cava and the azygos vein with clear margins.
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