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以反复晕厥为表现、从子宫蔓延至右心房的静脉内平滑肌瘤病的手术策略。

Surgical strategy for intravenous leiomyomatosis spreading from uterine to the right atrium presenting with recurrent syncope.

作者信息

He Gengxu, Yao Tong, Zhao Lei, Geng Hong, Ji Qiang, Zuo Kun, Luo Yuanzhi, Zhou Kai

机构信息

Department of Thoracic and Cardiovascular Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, P. R. China.

Department of Cardiac Function, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, P. R. China.

出版信息

J Cardiothorac Surg. 2024 Apr 15;19(1):209. doi: 10.1186/s13019-024-02681-3.

DOI:10.1186/s13019-024-02681-3
PMID:38616243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11017587/
Abstract

Uterine leiomyoma invading internal iliac vein and consequently disseminating into the right atrium is an extremely rare condition, and surgical strategy is controversial. Here, we reported a specific case with successful surgical resection through one-stage total hysterectomy, bilateral oophorectomy, and the intracardiovascular lesion. This procedure would be an optimal choice for uterine leiomyoma invading inferior vena cava and spreading to right atrium.

摘要

子宫平滑肌瘤侵犯髂内静脉并进而扩散至右心房是一种极为罕见的情况，且手术策略存在争议。在此，我们报告了一例通过一期全子宫切除术、双侧卵巢切除术及心血管病变切除术成功进行手术切除的特殊病例。该手术方法对于侵犯下腔静脉并扩散至右心房的子宫平滑肌瘤而言可能是一种最佳选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/caeb9866254f/13019_2024_2681_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/e174e02faa8b/13019_2024_2681_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/7ef897c80d7b/13019_2024_2681_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/803bc07f2636/13019_2024_2681_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/caeb9866254f/13019_2024_2681_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/e174e02faa8b/13019_2024_2681_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/7ef897c80d7b/13019_2024_2681_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/803bc07f2636/13019_2024_2681_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11017587/caeb9866254f/13019_2024_2681_Fig4_HTML.jpg

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本文引用的文献

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Different surgical strategies of patients with intravenous leiomyomatosis.静脉内平滑肌瘤病患者的不同手术策略。
Medicine (Baltimore). 2016 Sep;95(37):e4902. doi: 10.1097/MD.0000000000004902.
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Intravenous leiomyomatosis with intracardiac extension: echocardiographic study and literature review.伴有心脏内扩展的静脉内平滑肌瘤病：超声心动图研究及文献综述
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Intracardiac leiomyomatosis: a comprehensive analysis of 194 cases.心脏内平滑肌瘤病：194例综合分析
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Intravenous leiomyomatosis of the uterus with pulmonary metastases or a case with benign metastasizing leiomyoma?子宫静脉内平滑肌瘤病伴肺转移还是良性转移性平滑肌瘤病例？
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Pulmonary benign metastasizing leiomyoma associated with intravenous leiomyomatosis of the uterus: clinical behavior and genomic changes supporting a transportation theory.与子宫静脉内平滑肌瘤病相关的肺良性转移性平滑肌瘤：支持转移理论的临床行为和基因组变化
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Intravascular leiomyomatosis and benign metastasizing leiomyoma: an unusual case.血管内平滑肌瘤病与良性转移性平滑肌瘤：一例罕见病例。
Int J Gynecol Cancer. 2006 May-Jun;16(3):1448-50. doi: 10.1111/j.1525-1438.2006.00607.x.
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