Granmayeh M, Jonsson K, McFarland W, Wallace S
AJR Am J Roentgenol. 1978 Apr;130(4):725-30. doi: 10.2214/ajr.130.4.725.
The spectrum of angiographic findings of abdominal leiomyosarcoma in 33 cases is presented, and the value of angiography in the diagnosis and management of such patients is discussed. Angiographic features of abdominal leiomyosarcomas are different depending upon the site of origin. Small bowel lesions are hypervascular, and those in the stomach and colon moderately vascular. Well circumscribed masses with enlarged feeding arteries and draining veins form the predominant presentation of small bowel leiomyosarcoma. In the retroperitoneum these neoplasms are usually hypovascular to moderately vascular, and displacement of major vessels, particularly the inferior vena cava, is the most common angiographic finding. Bladder leiomyosarcoma can be either moderately vascular or hypervascular. Vascularity of metastases is usually similar to that of the primary lesion.
本文呈现了33例腹部平滑肌肉瘤的血管造影表现谱，并讨论了血管造影在此类患者诊断和治疗中的价值。腹部平滑肌肉瘤的血管造影特征因起源部位而异。小肠病变血管丰富，胃和结肠的病变血管中等。边界清晰的肿块伴供血动脉和引流静脉增粗是小肠平滑肌肉瘤的主要表现。在腹膜后，这些肿瘤通常血管较少至中等，主要血管特别是下腔静脉的移位是最常见的血管造影表现。膀胱平滑肌肉瘤可以是血管中等或丰富。转移灶的血管情况通常与原发灶相似。
