下腔静脉平滑肌肉瘤 10 年诊治经验
A 10-year experience of leiomyosarcoma of the inferior vena cava.
机构信息
Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China.
Department of Radiology, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China.
出版信息
Phlebology. 2022 Sep;37(8):572-578. doi: 10.1177/02683555221101706. Epub 2022 May 14.
OBJECTIVES
Leiomyosarcoma of the inferior vena cava (IVC) is rare. The study reviewed patients with IVC leiomyosarcoma in our hospital in the past ten years.
METHODS
Twenty patients diagnosed with IVC leiomyosarcoma between October 2010 and October 2020 were enrolled. Their clinical manifestations, treatments, and follow-up results were analyzed.
RESULTS
The sarcoma was located in the lower IVC segment in six patients, with 13 in the middle and one in the upper IVC segment. Eighteen patients underwent R0 resection. After resection, 16 patients (80%) had primary repair of the IVC, while four patients underwent ligation. During a mean follow-up of 37.7 months, seven patients died due to tumor metastasis, four patients were alive with the tumor recurrence and other nine patients were alive without recurrence.
CONCLUSION
The management of the IVC after tumor resection depended on the tumor location and size. R0 resection provided a chance for long term survival.
目的
下腔静脉（IVC）平滑肌肉瘤较为罕见。本研究回顾了过去十年我院收治的 IVC 平滑肌肉瘤患者。
方法
2010 年 10 月至 2020 年 10 月期间，共纳入 20 例 IVC 平滑肌肉瘤患者。分析其临床表现、治疗方法及随访结果。
结果
肉瘤位于下腔静脉下段 6 例，中段 13 例，上段 1 例。18 例行 R0 切除术。术后 16 例（80%）行 IVC 一期修复，4 例行结扎。平均随访 37.7 个月，7 例患者因肿瘤转移死亡，4 例患者肿瘤复发后存活，9 例患者存活且无复发。
结论
肿瘤切除后 IVC 的处理取决于肿瘤的位置和大小。RO 切除为长期生存提供了机会。
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