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病例报告:静脉内平滑肌瘤病,一种罕见的心内充盈缺损病因。

Case report: intravenous leiomyomatosis, an unusual cause of intracardiac filling defect.

作者信息

Gawne-Cain M L, Wilson A G, Corbishley C, Keating V, Joseph A E

机构信息

Department of Diagnostic Radiology, St George's Hospital, London.

出版信息

Clin Radiol. 1995 Feb;50(2):123-5. doi: 10.1016/s0009-9260(05)82996-4.

Abstract

Intravenous leiomyomatosis (IVLM) is a condition characterized by intravenous growth of histologically benign smooth muscle tumour originating in the uterus. Rarely, the tumour can extend via the inferior vena cava into the right side of the heart. In only one previously described case has the tumour extended into the pulmonary artery. We present a second such tumour. In this case, tumour calcification could be identified during cine recording moving within the pulmonary outflow tract, a finding not commonly associated with this condition. The radiological investigation of IVLM is briefly discussed.

摘要

静脉内平滑肌瘤病(IVLM)是一种以起源于子宫的组织学上良性的平滑肌肿瘤在静脉内生长为特征的疾病。该肿瘤很少会经下腔静脉延伸至心脏右侧。在之前仅报道过1例肿瘤延伸至肺动脉的病例。我们现报道第2例此类肿瘤。在该病例中,在电影记录时可发现肿瘤在肺流出道内移动,且伴有钙化,这一发现通常与该疾病无关。本文将简要讨论IVLM的影像学检查。

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