Rajaii-Khorasani Ahmad, Kahrom Mahdi, Hashemzadeh Maseood, Tayebi Sara, Ghazi Mercedeh, Hamedanchi Ali
Department of Cardiothoracic Surgery, Razavi Hospital, Mashhad, Iran.
J Card Surg. 2012 Jul;27(4):466-9. doi: 10.1111/j.1540-8191.2012.01469.x. Epub 2012 May 29.
Intravenous leiomyomatosis is a rare tumor arising either from a uterine leiomyoma or from uterine vessel walls with extension into venous channels. Although intravenous leiomyomatosis is considered histologically "benign," intrusion to the cardiac chambers is almost malignant given its possibility for destruction of heart valves, extending into the pulmonary vasculature, and embolizing. We report a patient with an intravenous leiomyomatosis progressing through the left iliac vein, along the entire vena cava up to the right cardiac chambers and branches of pulmonary artery (PA), and review the literature on this subject.
静脉内平滑肌瘤病是一种罕见的肿瘤，它要么起源于子宫平滑肌瘤，要么起源于子宫血管壁并延伸至静脉通道。尽管静脉内平滑肌瘤病在组织学上被认为是“良性的”，但侵入心脏腔室几乎是恶性的，因为它有可能破坏心脏瓣膜、延伸至肺血管系统并发生栓塞。我们报告了一名静脉内平滑肌瘤病患者，该肿瘤从左髂静脉进展，沿整个腔静脉直至右心腔和肺动脉分支，并对该主题的文献进行了综述。
