Department of General Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai 200032, Shanghai, China.
Expert Rev Anticancer Ther. 2013 Feb;13(2):137-41. doi: 10.1586/era.12.145.
Difficulties in the preoperative preparation and surgical management of patients with intravenous leiomyomatosis involving the heart and pulmonary artery resulting in intracardiac leiomyomatosis necessitate further investigation of this condition. In this report, we describe the interdisciplinary treatment of two cases of intracardiac leiomyomatosis with enormous mass in the abdominopelvic cavity. A single-stage surgical procedure with a combined thoracic and abdominal approach was performed in both cases and the tumors were successfully excised. The procedure also involved removal of the atrial, caval and other venular extensions, and total hysterectomy with bilateral salpingo-oophorectomy. Postoperative pathology findings confirmed the diagnosis of intravenous leiomyomatosis. Neither patient died perioperatively, and no complications were observed.
静脉内平滑肌瘤病累及心脏和肺动脉导致心内平滑肌瘤病的患者在术前准备和手术管理方面存在困难，需要进一步研究这种情况。在本报告中，我们描述了两例巨大腹腔盆腔肿块心内平滑肌瘤病的多学科治疗。两例均采用经胸、腹联合一期手术治疗，成功切除肿瘤。手术还包括心房、腔静脉和其他静脉延伸的切除，以及全子宫切除术和双侧输卵管卵巢切除术。术后病理检查结果证实了静脉内平滑肌瘤病的诊断。两名患者均无围手术期死亡，无并发症发生。
