Legrand M, Monami B, Honoré P, Dekoster G, Jacquet N
Service de Chirurgie digestive, CHU, Liège.
Acta Chir Belg. 1991 Jan-Feb;91(1):11-6.
Two cases of leiomyosarcoma of retrohepatic inferior vena cava are reported. The two patients are women and are currently alive with metastases one, seven years, and the other one year postoperatively. Leiomyosarcoma of inferior vena cava s a rare tumor which has an unexplained predilection for women. Clinical symptoms are non specific and depend mostly on the segment of the vessel involved. Preoperative diagnosis is based on ultrasonography, computed tomography and cavography. Although the prognosis is poor due to local recurrence and metastasis, we recommend an aggressive approach by radical tumor resection and caval reconstruction.
报告了两例肝后下腔静脉平滑肌肉瘤。两名患者均为女性,目前分别在术后一年和七年出现转移灶,但仍存活。下腔静脉平滑肌肉瘤是一种罕见肿瘤,女性发病率高,原因不明。临床症状无特异性,主要取决于受累血管的节段。术前诊断依靠超声、计算机断层扫描和腔静脉造影。尽管由于局部复发和转移,预后较差,但我们建议积极采取根治性肿瘤切除和腔静脉重建手术。