Saito H, Kidani M, Shinagawa M, Sato H, Noto T
Thorac Cardiovasc Surg. 1986 Aug;34(4):273-4. doi: 10.1055/s-2007-1022153.
A 64-year-old woman presented with endometrial stromal sarcoma of the inferior vena cava. The tumor was removed along the venous wall, and the vena cava and the right renal vein were reconstructed with a ringed polytetrafluoroethylene (PTFE) graft. The patient remains well 9 months after the operation despite graft occlusion. Fifteen years earlier the patient had undergone a hysterectomy for endometrial stromal sarcoma. Histologically, the second tumor was identical with the endometrial stromal sarcoma removed with the uterus at the primary operation. To the best of our knowledge, this is the first report of a case of obstruction of the inferior vena cava by such a tumor.
一名64岁女性因下腔静脉子宫内膜间质肉瘤前来就诊。肿瘤沿静脉壁切除,下腔静脉和右肾静脉用带环聚四氟乙烯(PTFE)移植物重建。尽管移植物闭塞,但患者术后9个月情况良好。15年前,该患者因子宫内膜间质肉瘤接受了子宫切除术。组织学检查显示,第二个肿瘤与初次手术时随子宫切除的子宫内膜间质肉瘤相同。据我们所知,这是首例关于此类肿瘤导致下腔静脉梗阻的病例报告。