Long Ling, Zhou Ling, Ying Demei, Huang Yan, Yang Juan, Zhou Lu, Li Sufen, He Xuan, Xie Rongkai
Department of Obstetrics and Gynecology, Xinqiao Hospital, Army Medical University(Third Military Medical University), Chongqing, China.
Department of Endocrinology, Translational Research Key Laboratory for Diabetes, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Front Oncol. 2022 Aug 16;12:905857. doi: 10.3389/fonc.2022.905857. eCollection 2022.
Leiomyosarcoma of the uterus (ULMS) is a rare malignant tumor originating from embryonic mesenchymal cells. ULMS tends to metastasize to the lungs, lymph nodes, liver, and bone. Computed tomography three-dimensional (CT 3D) imaging is an advanced diagnostic technique that can track the vessels and their relationships with tumors and reveal the invasion of vessels, including small vessels, around tumors in any slice. Here, we describe a case in which ULMS extended to the retrohepatic inferior vena cava. To date, no report has described resection of metastatic ULMS of the vena cava through supplemental CT 3D imaging. Our patient presented with right lumbar abdominal pain as the main symptom. After using CT 3D reconstruction to accurately assess the relationship between the tumor and the surrounding organs and blood vessels before the operation, the operation was successfully completed through multidisciplinary surgical collaboration.
子宫平滑肌肉瘤（ULMS）是一种起源于胚胎间充质细胞的罕见恶性肿瘤。ULMS易于转移至肺、淋巴结、肝脏和骨骼。计算机断层扫描三维（CT 3D）成像技术是一种先进的诊断技术，它可以追踪血管及其与肿瘤的关系，并显示肿瘤周围血管（包括小血管）在任何层面的受侵情况。在此，我们描述了1例ULMS侵犯至肝后下腔静脉的病例。迄今为止，尚无通过补充CT 3D成像技术切除下腔静脉转移性ULMS的报道。我们的患者以右腰腹部疼痛为主要症状。术前通过CT 3D重建准确评估肿瘤与周围器官和血管的关系后，经多学科手术协作成功完成了手术。
