el Malki Hadj Omar, Ifrine Lahcen, Mohsine Raouf, Oulbacha Saïd, Belkouchi Abdelkader, Balafrej Saïd
Clinique Chirurgicale A, Hôpital Ibn Sina, Rabat, Maroc.
Prog Urol. 2003 Apr;13(2):293-6.
The authors report the case of a 42-year-old woman in whom a tumour of the inferior vena cava was discovered intraoperatively. Histological examination of the specimen confirmed the diagnosis of leiomyosarcoma. Malignant tumours of the inferior vena cava are very rare and about 95% of these tumours are leiomyosarcomas. These tumours are diagnosed preoperatively in only 10% of cases. CT and MRI allow a precise staging assessment. Radical surgery and a combination of radiotherapy-chemotherapy constitute optimal treatment for leiomyosarcoma of the inferior vena cava, ensuring long survival, but recurrences are frequent.
作者报告了一例42岁女性病例，术中发现其下腔静脉有肿瘤。标本的组织学检查确诊为平滑肌肉瘤。下腔静脉恶性肿瘤非常罕见，其中约95%为平滑肌肉瘤。这些肿瘤仅在10%的病例中能在术前得到诊断。CT和MRI可进行精确的分期评估。根治性手术以及放化疗联合是下腔静脉平滑肌肉瘤的最佳治疗方法，可确保长期生存，但复发很常见。
