Bashir Eitezaz Ahmed, Anwar Syed Faraz
Department of Surgery, Combined Military Hospital, Rawalpindi.
J Coll Physicians Surg Pak. 2005 Oct;15(10):656-7.
A middle aged female presented with a swelling in the groin on the left side. On examination, it was an oval mildly tender firm mass, adherent to underlying structures and extending into the pelvis with pulsatility and bruit. It was diagnosed as leiomyosarcoma of femoral vein on fine needle aspiration cytology and selective left common iliac and common femoral angiography of the lesion. En-bloc wide excision of the mass including the femoral vessels was carried out with saphenous vein graft interposition for restoration of vascular continuity for both vessels. Femoral nerve was sacrificed for tissue clearance. The defect was large and led to permanent limp and walk with a support. The lady was followed up for two years. She was found to have no local recurrence or detectable metastases.
一名中年女性因左侧腹股沟肿胀就诊。检查发现，这是一个椭圆形、轻度压痛的坚实肿块，与下方结构粘连，并延伸至盆腔，有搏动和杂音。经细针穿刺细胞学检查及病变部位的选择性左髂总动脉和股总动脉血管造影，诊断为股静脉平滑肌肉瘤。对肿块进行了包括股血管在内的整块广泛切除，并进行大隐静脉移植以恢复两根血管的血管连续性。为了清除组织而牺牲了股神经。缺损很大，导致永久性跛行，需借助支撑物行走。该女士接受了两年的随访。未发现局部复发或可检测到的转移。
