Mellière D, Achrafi H, Becquemin J P, Fitoussi M, Lange F
CHU Henri Mondor, Service de Chirurgie Vasculaire et d'Anatomie-Pathologique, Créteil.
Phlebologie. 1993 Jul-Sep;46(3):513-9.
Venous leiomyosarcoma are rare malignant tumours that are usually revealed by an oedema of the lower limb, a sign of deep phlebitis. As the development is not linked with radiotherapy and chemotherapy, the prognosis depends mainly on a early diagnosis, which brings the best opportunities of complete surgical exeresis before the apparition of metastasis. The case reported below as well as ten other cases taken in the literature show the necessity to mention this diagnosis when confronted to any phlebitis appeared in the absence of usual precipitating factors. It is all the more necessary when mass is found by palpation, a small tumour is revealed by echography or when phlebography shows a lateral or circumferencial stricture that is different from usual pictures of phlebitis.
静脉平滑肌肉瘤是罕见的恶性肿瘤，通常表现为下肢水肿，这是深部静脉炎的征象。由于其发展与放疗和化疗无关，预后主要取决于早期诊断，早期诊断能在转移出现前带来完整手术切除的最佳机会。下面报告的病例以及文献中选取的其他十个病例表明，当面对任何无常见诱发因素出现的静脉炎时，都有必要考虑这一诊断。当通过触诊发现肿块、超声检查发现小肿瘤或静脉造影显示与常见静脉炎图像不同的侧方或环形狭窄时，这种必要性就更加突出。
