Suter M, Boumghar M, Worreth M, Chapuis G
Service de chirurgie générale, CHUV, Lausanne.
Helv Chir Acta. 1992 May;58(6):823-9.
We report three new cases of leiomyosarcoma of the inferior vena cava observed between 1985 and 1990. Two of them developed in women and one in a man. The age of the patients were 56, 29 and 57 years. The three tumors have been removed completely. One patient received postoperative radio- and chemotherapy and is well 68 months after excision. One patient developed liver metastasis 18 months after resection despite chemotherapy and died after 3 years. The last one refused postoperative radio- and chemotherapy, developed massive local recurrence and pulmonary metastasis three months postoperatively, and is still alive with disease after 8 months. The diagnostic modalities of these rare tumors as well as the problems created by their surgical resection and the need for a complementary treatment are discussed.
我们报告了1985年至1990年间观察到的三例下腔静脉平滑肌肉瘤新病例。其中两例发生在女性，一例发生在男性。患者年龄分别为56岁、29岁和57岁。三个肿瘤均已完全切除。一名患者接受了术后放疗和化疗，切除后68个月情况良好。一名患者尽管接受了化疗，但在切除后18个月出现肝转移，3年后死亡。最后一名患者拒绝术后放疗和化疗，术后三个月出现大量局部复发和肺转移，8个月后仍带瘤存活。本文讨论了这些罕见肿瘤的诊断方法、手术切除带来的问题以及辅助治疗的必要性。
