Nagumo M, Kiso I, Misumi T, Yasudo M, Nakada K, Mukai M
Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Japan.
Tokai J Exp Clin Med. 1997 Sep;22(3):125-31.
A case of intravenous leiomyomatosis spreading to the right ventricle is described. A 28-year-old woman had been previously diagnosed as having a smooth muscle tumor of borderline malignancy after hysterectomy for a large uterine tumor, because of its unusual invasive character. Based on the above diagnosis, the patient had been managed clinically as having a uterine sarcoma. One year after her hysterectomy, a local recurrence in the pelvic cavity was detected. Two years later, the tumor appeared as a cardiac tumor causing syncope. The tumor was totally resected in two surgical stages, and the correct diagnosis of an intravenous leiomyomatosis was made. The diagnostic and operative considerations are reviewed and the preferred surgical procedure is discussed.
本文描述了一例静脉内平滑肌瘤病蔓延至右心室的病例。一名28岁女性曾因巨大子宫肿瘤行子宫切除术后，因其不寻常的浸润性特征，先前被诊断为交界性恶性平滑肌肿瘤。基于上述诊断，该患者临床上被当作子宫肉瘤进行处理。子宫切除术后一年，发现盆腔局部复发。两年后，肿瘤表现为心脏肿瘤，导致患者晕厥。该肿瘤分两个手术阶段完全切除，并确诊为静脉内平滑肌瘤病。本文回顾了诊断和手术方面的考虑因素，并讨论了首选的手术方法。
