伪装成大型深静脉血栓形成的静脉内平滑肌瘤病。
Intravenous leiomyomatosis disguised as a large deep vein thrombosis.
作者信息
Gunderson Camille C, Parsons Blake, Penaroza Shyla, Peyton Marvin D, Landrum Lisa M
机构信息
University of Oklahoma Health Sciences Center, Department of Obstetrics and Gynecology, Section of Gynecologic Oncology; Oklahoma City, OK, USA.
University of Oklahoma Health Sciences Center, Department of Radiology; Oklahoma City, OK, USA.
出版信息
J Radiol Case Rep. 2016 May 31;10(5):29-35. doi: 10.3941/jrcr.v10i5.2221. eCollection 2016 May.
Intravenous leiomyomatosis is a benign smooth muscle tumor which despite its histology can have devastating consequences. Furthermore, the clinical manifestations are variable and nonspecific, typically leading to delayed or missed diagnosis. Thus, it is critical for clinicians to be aware of this condition and have a high index of suspicion in a middle-aged woman with a history of uterine leiomyoma presenting with an inferior vena cava mass to enable early diagnosis and treatment. We report a case of a large intravenous leiomyoma which was initially considered to be a very large deep venous thrombosis; with thorough preoperative planning, it was successfully removed intact and in entirety with a single-stage operation.
静脉内平滑肌瘤病是一种良性平滑肌肿瘤，尽管其组织学表现为良性，但仍可能产生严重后果。此外，其临床表现多样且不具特异性，通常会导致诊断延迟或漏诊。因此，对于有子宫平滑肌瘤病史、出现下腔静脉肿块的中年女性，临床医生必须了解这种疾病并保持高度怀疑，以便早期诊断和治疗。我们报告一例巨大静脉内平滑肌瘤病例，该病例最初被认为是一个非常大的深静脉血栓形成；经过全面的术前规划，通过一期手术成功完整地切除了肿瘤。
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