单阶段子宫平滑肌瘤和血管内平滑肌瘤病切除术：一例报告。
Single-stage resection of uterine fibroids and intravascular leiomyomatosis: a case report.
机构信息
Department of Thoracic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, P.R. China.
Anesthesia Surgery Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, P.R. China.
出版信息
BMC Womens Health. 2024 Sep 27;24(1):531. doi: 10.1186/s12905-024-03371-x.
BACKGROUND
Uterine Fibroids (UFs) are common benign tumors in the female reproductive tract, but their progression to intravascular leiomyomatosis (IVL) is rare. Presently, there are few reports on single-stage resection of UFs and IVL.
CASE PRESENTATION
A 47-year-old woman, G2P2, had been diagnosed multiple UFs four years ago and now developed heart failure. Imaging examinations revealed that UFs had invaded the right iliac vein and extended into the right atrium through the inferior vena cava. Through multidisciplinary collaboration and a single-stage resection, the patient has survived for over 24 months post-surgery, and her heart function has significantly improved compared to preoperative levels, with no recurrence of UFs observed.
CONCLUSIONS
Single-stage resection of IVL and UF is feasible and advantageous for this case, and selecting the appropriate surgical approach is crucial.
背景
子宫肌瘤（UFs）是女性生殖道常见的良性肿瘤，但它们向血管内平滑肌瘤病（IVL）进展的情况较为罕见。目前，关于 UFs 和 IVL 的一次性切除的报道较少。
病例介绍
一名 47 岁的 G2P2 女性，四年前被诊断出患有多发性 UFs，现在出现心力衰竭。影像学检查显示，UFs 已侵犯右侧髂静脉，并通过下腔静脉延伸至右心房。通过多学科合作和一次性切除，患者手术后已存活超过 24 个月，与术前相比，其心功能显著改善，未观察到 UFs 复发。
结论
对于这种情况，IVL 和 UF 的一次性切除是可行且有利的，选择合适的手术方法至关重要。
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