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表现为深静脉血栓形成的下腔静脉平滑肌肉瘤;病例报告

Leiomyosarcoma of the inferior vena cava presenting as deep venous thrombosis; case report.

作者信息

Arif Sardar Hassan, Mohammed Ayad Ahmad

机构信息

Department of Surgery, College of Medicine, University of Duhok, Azadi Teaching Hospital, 8 Nakhoshkhana Road, 1014 AM, Duhok City, Kurdistan Region, Iraq.

出版信息

Radiol Case Rep. 2019 Nov 26;15(2):133-135. doi: 10.1016/j.radcr.2019.10.034. eCollection 2020 Feb.

DOI:10.1016/j.radcr.2019.10.034
PMID:31827658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6888706/
Abstract

Primary tumors arising from the inferior vena cava are extremely rare, leiomyosarcoma is the most common one arising from the smooth muscle cells in the media of the wall of the vena cava. A 42-year-old lady had epigastric pain and back pain for 4 months with signs of deep vein thrombosis of the right lower limb. CT-scan showed a mass related to the inferior vena cava which was proved by histopathological examination to be leiomyosarcoma of the inferior vena cava. A multidisciplinary team is required for the diagnosis and management of tumors the vena cava. Long term follow-up is recommended.

摘要

起源于下腔静脉的原发性肿瘤极为罕见,平滑肌肉瘤是起源于腔静脉壁中层平滑肌细胞的最常见肿瘤。一位42岁女性有上腹部疼痛和背痛4个月,并伴有右下肢深静脉血栓形成的体征。CT扫描显示一个与下腔静脉相关的肿块,经组织病理学检查证实为下腔静脉平滑肌肉瘤。腔静脉肿瘤的诊断和治疗需要多学科团队协作。建议进行长期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f4/6888706/a2d9495dbc6f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f4/6888706/d96bab147b67/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f4/6888706/65a1014854e0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f4/6888706/a2d9495dbc6f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f4/6888706/d96bab147b67/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f4/6888706/65a1014854e0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f4/6888706/a2d9495dbc6f/gr3.jpg

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本文引用的文献

1
Leiomyosarcoma of the inferior vena cava: experience in 22 cases.下腔静脉平滑肌肉瘤:22例经验
Ann Surg. 2006 Aug;244(2):289-95. doi: 10.1097/01.sla.0000229964.71743.db.
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Leiomyosarcoma of the inferior vena cava: clinical experience with four cases.下腔静脉平滑肌肉瘤:4例临床经验
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