Fremed Daniel I, Faries Peter L, Schanzer Harry R, Marin Michael L, Ting Windsor
Division of Vascular Surgery, The Mount Sinai Medical Center, New York, NY, USA
Division of Vascular Surgery, The Mount Sinai Medical Center, New York, NY, USA.
Vascular. 2014 Dec;22(6):450-3. doi: 10.1177/1708538113516446. Epub 2013 Dec 17.
Only a small number of venous leiomyosarcomas have been previously reported. Of these tumors, those of saphenous origin comprise a minority of cases. A 59-year-old man presented with symptoms of deep vein thrombosis and was eventually diagnosed with primary leiomyosarcoma of great saphenous vein origin. The tumor was treated with primary resection and femoral vein reconstruction with autologous patch. Although extremely rare, saphenous leiomyosarcoma can present as deep vein thrombosis. Vascular tumors should be included in the differential diagnosis of atypical extremity swelling refractory to conventional deep vein thrombosis management.
此前仅有少数静脉平滑肌肉瘤的病例报道。在这些肿瘤中，源于大隐静脉的肿瘤占少数。一名59岁男性因深静脉血栓形成的症状就诊，最终被诊断为源于大隐静脉的原发性平滑肌肉瘤。该肿瘤接受了一期切除及自体补片股静脉重建术治疗。尽管极为罕见，但大隐静脉平滑肌肉瘤可表现为深静脉血栓形成。对于常规深静脉血栓治疗无效的非典型肢体肿胀，鉴别诊断时应考虑血管肿瘤。
