Talati Jay, Khazem Maher, Vogel Jeffrey, Davis Hugh, Heithaus Robert
Division of Vascular and Interventional Radiology, University of Florida College of Medicine, Gainesville, FL USA.
Int Cancer Conf J. 2024 Mar 2;13(2):177-181. doi: 10.1007/s13691-024-00662-w. eCollection 2024 Apr.
Uterine carcinosarcoma is a rare, aggressive tumor with several cases in the literature reporting cardiac tumor thrombus involvement. In this case report, we describe a 72-year-old female with a history of uterine carcinosarcoma, who presented with extensive thrombus in the Inferior Vena Cava (IVC) and right atrium. The patient underwent an aspiration thrombectomy which aided in intravascular debulking of the thrombus. Histopathological analysis of the thrombus revealed tumor thrombus. In cryptic cases of tumor thrombus, thrombectomy with histopathological analysis can help confirm the diagnosis of metastatic disease and help guide oncologic staging and further therapy.
子宫癌肉瘤是一种罕见的侵袭性肿瘤，文献中有几例报告显示其累及心脏肿瘤血栓。在本病例报告中，我们描述了一名72岁有子宫癌肉瘤病史的女性，她出现了下腔静脉（IVC）和右心房广泛血栓形成。该患者接受了抽吸血栓切除术，这有助于血管内减少血栓量。血栓的组织病理学分析显示为肿瘤血栓。在隐匿性肿瘤血栓病例中，进行血栓切除术并结合组织病理学分析有助于确诊转移性疾病，并有助于指导肿瘤分期和进一步治疗。
