Porcellini Massimo, D'armiento Francesco Paolo, Spinetti Fabio, Anniciello Annamaria, Bracale Giancarlo
Department of Vascular Surgery, Federico II University, Naples, Italy.
J Endovasc Ther. 2003 Aug;10(4):846-8. doi: 10.1177/152660280301000425.
To describe a unique case of misdiagnosed leiomyosarcoma of the common femoral artery presenting with signs and symptoms of high-grade stenosis, which was treated with stent placement.
A 31-year-old woman with a history of diabetes and hyperlipidemia had recurrent claudication and showed significant in-stent restenosis of the common femoral artery in a postoperative angiogram at 5 months. The patient's clinical stage remained unchanged after repeat percutaneous intervention, and leiomyosarcoma was diagnosed from surgical specimens. The patient underwent resection and repair of the involved artery. She has survived 30 months with no further evidence of local recurrence or systemic metastatic disease.
Endovascular repair may cause a long delay in the diagnosis of an arterial leiomyosarcoma mimicking peripheral occlusive disease.
描述一例独特的股总动脉平滑肌肉瘤误诊病例，该病例表现为高度狭窄的体征和症状，采用支架置入术进行治疗。
一名有糖尿病和高脂血症病史的31岁女性反复出现间歇性跛行，术后5个月的血管造影显示股总动脉存在明显的支架内再狭窄。重复经皮介入治疗后患者的临床分期未变，手术标本诊断为平滑肌肉瘤。患者接受了受累动脉的切除和修复。她已存活30个月，没有局部复发或全身转移性疾病的进一步证据。
血管内修复可能会导致对模仿外周闭塞性疾病的动脉平滑肌肉瘤的诊断出现长时间延误。
