Ahmed Fatima, Pounds Rachel, Teo Hong-Giap, Nevin James, Singh Kavita, Yap Jason
Birmingham Women's NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham B15 2TG, UK.
Birmingham Cancer Research UK Cancer Centre, Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham B15 2TT, UK.
Case Rep Womens Health. 2019 Jun 27;23:e00131. doi: 10.1016/j.crwh.2019.e00131. eCollection 2019 Jul.
Outcomes following the excision of the external iliac vein during gynaecological oncology surgery are poorly documented. This is because most gynaecological oncologists consider tumours with vascular involvement inoperable. We describe a patient whose right external iliac vein was transected during the removal of a large broad ligament leiomyosarcoma invading the right external iliac vein. The patient's recovery following surgery was uneventful, and she remained disease-free 6 months postoperatively, with minimal morbidity. In describing this case, we hope to educate and inform other gynaecological oncologists facing a similar surgical challenge. We also propose that resection of the external iliac vessels in such cases is safe and feasible, and summarise the anatomical course of venous collaterals, which develop when the external iliac veins are obstructed.
妇科肿瘤手术中切除髂外静脉后的结果鲜有文献记载。这是因为大多数妇科肿瘤学家认为伴有血管受累的肿瘤无法手术切除。我们描述了一名患者，在切除侵犯右髂外静脉的巨大阔韧带平滑肌肉瘤时，其右髂外静脉被横断。患者术后恢复顺利，术后6个月无疾病复发，并发症极少。在描述这个病例时，我们希望教育并告知其他面临类似手术挑战的妇科肿瘤学家。我们还提出，在这种情况下切除髂外血管是安全可行的，并总结了髂外静脉受阻时形成的静脉侧支的解剖路径。
