Department of Radiology, Service d'Imagerie de la Femme, Institute Paoli-Calmettes, 232 boulevard Sainte-Marguerite, 13009, Marseille, France.
Department of Histopathology, Institute Paoli-Calmettes, Marseille, France.
Abdom Radiol (NY). 2017 Dec;42(12):2927-2932. doi: 10.1007/s00261-017-1225-1.
Intravenous leiomyomatosis has an unusual growth pattern characterized by proliferation of smooth muscle in uterine and systemic veins. Although histologically benign, this condition could eventually have a clinically aggressive course. At an early stage, the disease is often misdiagnosed on preoperative imaging because of its low prevalence, non-specific initial clinical manifestation, and poorly known radiological characteristics. An early, accurate diagnosis is needed for appropriate surgical management that could result in a good prognosis, reducing the risk of recurrence and morbidity. Magnetic resonance imaging is a particularly valuable technique for assessing intravenous leiomyomatosis preoperatively.
静脉内平滑肌瘤病具有一种不常见的生长模式，其特征是子宫和全身静脉中的平滑肌增生。尽管组织学上是良性的，但这种情况最终可能具有临床侵袭性的过程。在早期，由于其低患病率、非特异性的初始临床表现和鲜为人知的放射学特征，该疾病在术前影像学检查中经常被误诊。早期、准确的诊断对于适当的手术管理是必要的，这可以带来良好的预后，降低复发和发病的风险。磁共振成像（MRI）是术前评估静脉内平滑肌瘤病的一种特别有价值的技术。
