Avisse C, Plet H, Cailliez-Tomasi J P, Clement C, Deville J, Patey M, Pluot M, Flament J B
Service de Chirurgie Générale et Digestive, C.H.U. Reims.
J Chir (Paris). 1995 May;132(5):237-42.
A leiomyosarcoma was diagnosed in the mid portion of the inter-renal inferior vena cava. Survival was long (6 years) but required 14 reoperations to remove metastases. During the first operation, vascular integrity was reestablished with a cava-cava prosthesis after exeresis of the upstream cava without removal of the left renal vein ostium. The right renal vein was sectioned and directly implanted onto the prosthesis. The pathology report confirmed the diagnosis of leiomyosarcoma with multiple metastases presenting cytonuclear anomalies which worsened with time.
在肾下腔静脉中段诊断出平滑肌肉瘤。患者存活时间较长（6年），但需要进行14次再次手术以切除转移灶。在首次手术中，在上腔静脉切除后，未切除左肾静脉开口，使用腔静脉假体重建血管完整性。右肾静脉被切断并直接植入到假体上。病理报告证实为平滑肌肉瘤伴多发转移，存在细胞核异常，且随着时间推移病情恶化。
