Sakpal Sujit Vijay, Mehta Rohin, Babel Nitin, Chamberlain Ronald Scott
Department of Surgery, Saint Barnabas Medical Center, Livingston, NJ 07039, USA.
J Vasc Surg. 2009 Jan;49(1):217-21. doi: 10.1016/j.jvs.2008.07.018.
Vascular leiomyosarcomas are extremely rare tumors and represent only 0.001% of all malignancies. Venous leiomyosarcomas occur five times more often than arterial ones, with 50% of them originating in the inferior vena cava (IVC). Arterial leiomyosarcomas are most commonly encountered in the great vessels with less than 50% of them occurring in the peripheral circulation. A total of only seven cases of arterial leiomyosarcomas involving the femoral artery have been reported in literature to date. We report a case of an arterial leiomyosarcoma involving the profunda femoris artery, and provide a comprehensive review on peripheral arterial leiomyosarcomas-distribution, clinical presentation, radiological and histological diagnosis, staging, and treatment.
血管平滑肌肉瘤是极其罕见的肿瘤，仅占所有恶性肿瘤的0.001%。静脉平滑肌肉瘤的发生率是动脉平滑肌肉瘤的5倍，其中50%起源于下腔静脉（IVC）。动脉平滑肌肉瘤最常发生于大血管，不到50%发生于外周循环。迄今为止，文献中仅报道了7例累及股动脉的动脉平滑肌肉瘤。我们报告1例累及股深动脉的动脉平滑肌肉瘤病例，并对外周动脉平滑肌肉瘤的分布、临床表现、放射学和组织学诊断、分期及治疗进行全面综述。
