Vena cava tumor is a rare tumor and its surgical procedure is unique. A women patient, 55 years old, referred to our hospital becouse of intraabdominal mass. After preoperative preperation, the patient was operated for vena cava tumor. Total tumor excision and partially vena cava resection were performed and vena cava was repaired with synthetic vasculer graft patch. In pathological examination of mass, spindle cell sarcomatous malignant tumor was detected and it was interpreted as moderately differentiated leiyomyosarcoma. A rare clinical condition of this case was discussed together with literature.
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