Aiba Masahiro, Kigawa Ikutaro
Department of Cardiovascular Surgery, Totsuka Kyoritsu Second Hospital.
Ann Vasc Dis. 2020 Sep 25;13(3):351-354. doi: 10.3400/avd.cr.20-00056.
Leiomyosarcoma of the inferior vena cava (IVC) is a rare malignancy, but has been found more frequently with recent advances in diagnostic imaging. Local recurrence and metastases are frequent with this pathology, and prognosis is poor. We report a case of a patient with leiomyosarcoma of the IVC surviving for >10 years after the first resection despite local recurrence and two metastatic recurrences to the pancreas and liver, with successful excisions following early detection on positron emission tomography-computed tomography.
下腔静脉平滑肌肉瘤是一种罕见的恶性肿瘤,但随着诊断成像技术的最新进展,其发现频率有所增加。这种病理类型常出现局部复发和转移,预后较差。我们报告一例下腔静脉平滑肌肉瘤患者,尽管出现局部复发以及胰腺和肝脏的两次转移性复发,但在首次切除术后存活超过10年,通过正电子发射断层扫描 - 计算机断层扫描早期检测到复发后成功切除。