Leiomyoma of the Greater Saphenous Vein Mimicking Inguinal Lymphadenopathy

Abstract EN

Introduction.

Leiomyoma is a benign vascular tumor affecting the greater saphenous vein rarely.

Proper histopathological examination sets the diagnosis after complete and wide surgical excision along with a normal portion of the GSV.

Case Presentation.

A 36-year-old woman was admitted to our hospital complaining of a dull ache on her right groin for the last three months, along with a palpable mass on the mentioned area.

An ultrasound (U/S) scan revealed a solid mass measuring 3×2 cm.

After wide surgical excision, pathological examination revealed a leiomyoma of the GSV.

Discussion.

Benign and mostly malignant tumors arising from the GSV are reported in the literature before.

Diagnostic modalities and clinical examination cannot set a correct diagnosis preoperatively due to no specific characteristics of these tumors.

Possible sarcomatous behaviour has to be kept in mind when treating tumors arising from a vessel wall and wide surgical excision as negative margins should be attempted.