Nam Mi Suk, Jeon Myung Jae, Kim Young Tae, Kim Jae Wook, Park Ki Hyun, Hong Yoo Sun
Department of Obstetrics and Gynecology, BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seoul, South Korea.
Gynecol Oncol. 2003 Apr;89(1):175-80. doi: 10.1016/s0090-8258(02)00138-5.
Intravenous leiomyomatosis with intracaval and intracardiac extension has been rarely described in surgical, gynecological, and radiological literatures. Complete excision of the tumor is essential for a favorable outcome. Because of the uniqueness of this tumor having an absent or localized attachment site, its removal is feasible when assisted, prior to surgery, with appropriate imaging and planning.
The case was a 46-year-old woman, with intravenous leiomyomatosis originating from the uterus and extending to the inferior vena cava and right atrium, with extensive intracaval attachment, diagnosed from the various preoperative studies and operated successfully through the single-stage approach using cardiopulmonary bypass.
We present an unusual case of intravenous leiomyomatosis originating from the uterus and extending to the inferior vena cava and right atrium with extensive intracaval attachment. We include a brief review of the literatures.
静脉内平滑肌瘤病累及腔静脉及心内结构的情况在外科、妇科及放射学文献中鲜有报道。完整切除肿瘤对于获得良好预后至关重要。由于该肿瘤附着部位缺失或局限这一独特性，在术前借助适当的影像学检查及规划辅助下，肿瘤切除是可行的。
该病例为一名46岁女性，患有源于子宫的静脉内平滑肌瘤病，肿瘤延伸至下腔静脉及右心房，伴有广泛的腔静脉内附着，通过多种术前检查得以诊断，并采用体外循环单阶段手术成功切除。
我们报告了一例罕见的源于子宫的静脉内平滑肌瘤病，肿瘤延伸至下腔静脉及右心房并伴有广泛的腔静脉内附着。我们还对相关文献进行了简要综述。
