Reddy Venkataprasanth P, Vanveldhuizen Peter J, Muehlebach Gregory F, Dusing Reginald W, Birkbeck James P, Williamson Stephen K, Krishnan Leela, Meyers David G
Department of Cardiology, The University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA.
Cases J. 2010 Feb 23;3:71. doi: 10.1186/1757-1626-3-71.
A 68-year-old white female presented with two years of progressively worsening dyspnea. Echocardiography revealed a large right atrial mass and partial obstruction of the inferior vena cava. Further imaging revealed a cystic dense mass in the inferior vena cava and right atrium. Immunohistochemical stains were consistent with leiomyosarcoma. Intraoperatively, the tumor was noted to originate from the posterior aspect of the inferior vena cava. The patient underwent successful resection of the mass. Adjuvant radiation therapy was completed. The patient's dyspnea gradually improved and she continues to remain disease free five years post-resection.
一名68岁的白人女性因进行性加重的呼吸困难两年前来就诊。超声心动图显示右心房有一个大肿块，下腔静脉部分梗阻。进一步的影像学检查显示下腔静脉和右心房有一个囊性致密肿块。免疫组化染色结果符合平滑肌肉瘤。术中发现肿瘤起源于下腔静脉后壁。患者成功切除了肿块。完成了辅助放疗。患者的呼吸困难逐渐改善，术后五年仍无疾病复发。
