Shandong Provincial Medical Imaging Institute, Ji'nan, China.
Am J Surg. 2010 Sep;200(3):e41-3. doi: 10.1016/j.amjsurg.2009.09.027. Epub 2010 Apr 21.
Intravenous leiomyomatosis is a rare disease, which appears histologically benign but is clinically aggressive. It is characterized by the intraluminal growth of leiomyomas in the intrauterine and systemic veins. Intravenous leiomyomatosis was reported to have originated in the uterus and extended into the right ventricle via the inferior vena cava (IVC). In these circumstances, it is fatal. Multislice compute tomography (MSCT) allows an early and accurate preoperative diagnosis, resulting in a higher rate of surgical resection and improved survival. The authors present 3 cases of intravenous leiomyomatosis with a history of uterine leiomyoma and hysterectomy. The lesions were found to have extended through the IVC into the right cardiac cavities and were confirmed to be intravenous leiomyomatosis by surgery.
静脉内平滑肌瘤病是一种罕见的疾病，组织学上表现为良性，但临床上具有侵袭性。其特征为子宫内和全身静脉内平滑肌瘤腔内生长。静脉内平滑肌瘤病据报道起源于子宫，并通过下腔静脉（IVC）延伸至右心室。在这种情况下，它是致命的。多层计算机断层扫描（MSCT）可实现早期、准确的术前诊断，从而提高手术切除率并改善生存率。作者报告了 3 例有子宫平滑肌瘤和子宫切除术病史的静脉内平滑肌瘤病患者。病变通过 IVC 延伸至右心腔，并通过手术证实为静脉内平滑肌瘤病。
