不同手术方式治疗静脉内平滑肌瘤病：三例病例报告
Intravenous leiomyomatosis with different surgical approaches: Three case reports.
作者信息
He Jie, Chen Zheng-Bo, Wang San-Ming, Liu Mu-Biao, Li Zhi-Gang, Li Hai-Yan, Zhao Gang
机构信息
Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China.
Department of Vascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China.
出版信息
World J Clin Cases. 2019 Feb 6;7(3):347-356. doi: 10.12998/wjcc.v7.i3.347.
BACKGROUND
Intravenous leiomyomatosis (IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.
CASE SUMMARY
Here we report three cases of IVL treated with different surgical approaches. All patients presented with circulation symptoms. Two patients had lower extremity edema and the other had cardiopalmus. The diagnosis of IVL was confirmed based on the imagining examinations and pathological findings. All patients underwent surgical treatment and were discharged without any complications.
CONCLUSION
Preoperative examination is crucial for surgical planning and surgical approach is dependent on the patient's condition and tumor involvement.
背景
静脉内平滑肌瘤病（IVL）是一种罕见且复杂的疾病，需要多学科团队进行手术治疗。然而，最佳手术方式尚未确定。
病例总结
在此，我们报告3例采用不同手术方式治疗的IVL病例。所有患者均有循环系统症状。2例患者出现下肢水肿，另1例有心悸。根据影像学检查和病理结果确诊为IVL。所有患者均接受了手术治疗，且均无并发症出院。
结论
术前检查对于手术规划至关重要，手术方式取决于患者病情和肿瘤累及情况。
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