静脉平滑肌瘤病的外科治疗:IVC滤过器的作用

EJVES Extra Pub Date : 2014-07-01 DOI:10.1016/j.ejvsextra.2014.05.005

I. Ferraz de Oliveira , L. Mendes Pedro , Â. Nobre , J.P. Freire , R. Fernandes e Fernandes , L. Silvestre , J. Cravino , J. Fernandes e Fernandes

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引用次数: 3

摘要

静脉平滑肌瘤病是一种罕见的危及生命的静脉肿瘤，并伴有子宫平滑肌瘤。报告一例45岁女性，有虚弱和用力呼吸困难病史，并有广泛的腔内肿块延伸至心脏右侧。在第二期手术前使用下腔静脉(IVC)过滤器成功切除肿瘤。术后观察到广泛的深静脉血栓。手术切除是静脉平滑肌瘤病唯一有效的治疗方法，复发率尚不清楚。下腔静脉过滤器应常规放置，以防止术后或晚期(复发的情况下)肺栓塞。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical Treatment of Intravenous Leiomyomatosis: The Role of the IVC Filter

Introduction

Intravenous leiomyomatosis is a rare, life-threatening intravenous tumor associated with uterine leiomyomata.

Report

This report describes the case of a 45-year-old woman with a history of weakness and exertional dyspnea, and an extensive intracaval mass extending to the right side of the heart. The tumor was successfully removed in a two-stage surgical procedure with an inferior vena cava (IVC) filter deployed before the second stage. An extensive DVT was observed postoperatively.

Discussion

Surgical removal is the only effective treatment for intravenous leiomyomatosis, and the rate of recurrence remains unclear. An IVC filter should be placed routinely to prevent postoperative or late (in case of recurrence) pulmonary embolism.

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来源期刊

EJVES Extra

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