Angiletta Domenico, Fullone Martinella, Greco Luigi, Marinazzo Davide, Frontino Piero, Regina Guido
Vascular Surgery Unit Policlinico Universitario Bari, Bari, Italy.
Ann Vasc Surg. 2011 May;25(4):557.e5-9. doi: 10.1016/j.avsg.2010.12.015.
Leiomyosarcomas are rare malignant tumors that particularly affect women. In 2% of all cases, they involve the veins, and in 60% of the cases affecting veins, an involvement of the inferior vena cava (IVC) has been demonstrated. We report a case of IVC leiomyosarcoma operated by resection and reconstruction with a Dacron bypass and apposition of an Adams-DeWeese IVC filter. The latter procedure has never been reported before in association with a graft applied for this disease. Technical and clinical details are described.
平滑肌肉瘤是一种罕见的恶性肿瘤,尤其好发于女性。在所有病例中,2%累及静脉,而在累及静脉的病例中,60%已证实累及下腔静脉(IVC)。我们报告一例通过切除和用涤纶人工血管搭桥重建并植入亚当斯 - 德威斯下腔静脉滤器治疗的下腔静脉平滑肌肉瘤病例。后一种手术此前从未与用于治疗该病的移植物联合报道过。本文描述了技术和临床细节。