静脉内平滑肌瘤病误诊为下腔静脉内巨大血栓。
Intravenous leiomyomatosis misdiagnosed with large thrombosis in inferior vena cava.
机构信息
Department of Obstetrics and Gynecology, Collage of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Obstetrics and Gynecology, Collage of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
出版信息
Taiwan J Obstet Gynecol. 2021 Mar;60(2):367-369. doi: 10.1016/j.tjog.2021.01.019.
OBJECTIVE
The aim of this report is to highlight the importance of a comprehensive preoperative evaluation in the case of intravenous leiomyomatosis.
CASE REPORT
A 49-year-old women was presented with dyspnea and abdominal distension. Imaging studies revealed a large leiomyoma with intravenous leiomyomatosis from this mass to the right parauterine veins, right ovarian vein reaching the inferior vena cava. Complete resection was performed by a two-stage operation by a multidisciplinary team. Final pathology confirmed it to be intravenous leiomyomatosis and uterine leiomyomas.
CONCLUSION
Intravenous leiomyomatosis is a benign and rare disease that can be a fatal condition. Precise diagnosis and appropriate treatment are important for the best outcome. Gynecologists should consider this rare disease when a patient with a uterine tumor shows symptoms such as chest pain and dyspnea.
目的
本报告旨在强调全面的术前评估在静脉内平滑肌瘤病中的重要性。
病例报告
一名 49 岁女性因呼吸困难和腹胀就诊。影像学检查显示巨大平滑肌瘤，伴静脉内平滑肌瘤病，该肿块从子宫延伸至右侧子宫旁静脉，右侧卵巢静脉延伸至下腔静脉。多学科团队通过两阶段手术进行了完全切除。最终病理证实为静脉内平滑肌瘤病和子宫平滑肌瘤。
结论
静脉内平滑肌瘤病是一种良性且罕见的疾病，但可能导致致命后果。精确的诊断和适当的治疗对于获得最佳结果至关重要。当患有子宫肿瘤的患者出现胸痛和呼吸困难等症状时，妇科医生应考虑这种罕见疾病。
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