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[上腔静脉平滑肌肉瘤:经血管内活检诊断]

[Leiomyosarcoma of the superior vena cava: diagnosis by endovascular biopsy].

作者信息

Izzillo R, Qanadli S D, Staroz F, Dubourg O, Laborde F, Raguin G, Lacombe P

机构信息

Service de Radiologie, Université Paris V--Hôpital Ambroise Paré, Boulogne-Billancourt, France.

出版信息

J Radiol. 2000 Jun;81(6):632-5.

PMID:10844341
Abstract

We report the case of a 69-year-old woman with leiomyosarcoma of the superior vena cava presenting with acute superior vena cava syndrome (SVCS). CT and MRI failed to fully characterize the endovascular process. Percutaneous endovascular biopsy, followed by metallic stent placement to treat the SVCS, confirmed the diagnosis. Symptoms resolved within 48 hours and surgical resection of the tumor was performed one month later. Unfortunately the patient died two weeks later because of intracranial hemorrhage.

摘要

我们报告了一例69岁患有上腔静脉平滑肌肉瘤并伴有急性上腔静脉综合征(SVCS)的女性病例。CT和MRI未能完全明确血管内病变情况。经皮血管内活检,随后置入金属支架治疗SVCS,从而确诊。症状在48小时内缓解,一个月后进行了肿瘤手术切除。不幸的是,患者两周后因颅内出血死亡。

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1
[Leiomyosarcoma of the superior vena cava: diagnosis by endovascular biopsy].[上腔静脉平滑肌肉瘤:经血管内活检诊断]
J Radiol. 2000 Jun;81(6):632-5.
2
Leiomyosarcoma of the superior vena cava producing superior vena cava syndrome and heart tamponade.上腔静脉平滑肌肉瘤导致上腔静脉综合征和心脏压塞。
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引用本文的文献

1
Percutaneous endovascular biopsy of intravascular masses: efficacy and safety in establishing pre-therapy diagnosis.经皮腔内血管内肿块活检术:在建立治疗前诊断中的疗效和安全性。
Eur Radiol. 2018 Jan;28(1):301-307. doi: 10.1007/s00330-017-4983-9. Epub 2017 Aug 4.
2
Leiomyosarcoma of the superior vena cava: Resection with vascular reconstruction - case report and review of the literature.上腔静脉平滑肌肉瘤:血管重建切除术——病例报告及文献综述
Int J Angiol. 2007 Winter;16(4):152-4. doi: 10.1055/s-0031-1278272.
3
Leiomyosarcoma of intravascular origin--a rare tumor entity: clinical pathological study of twelve cases.
血管内起源的平滑肌肉瘤——一种罕见的肿瘤实体:十二例临床病理研究。
World J Surg Oncol. 2010 Nov 22;8:103. doi: 10.1186/1477-7819-8-103.
4
Intravascular leiomyosarcoma of the brachiocephalic region -- report of an unusual tumour localisation: case report and review of the literature.头臂区域血管内平滑肌肉瘤——一种罕见肿瘤定位的报告:病例报告及文献综述
World J Surg Oncol. 2008 Oct 27;6:113. doi: 10.1186/1477-7819-6-113.