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下腔静脉平滑肌肉瘤的诊断及外科治疗 被引量:18

Leiomyosarcoma of inferior vena cava:diagnosis and treatment
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摘要 目的了解下腔静脉平滑肌肉瘤的临床特点,总结下腔静脉平滑肌肉瘤的诊治经验。方法对1986-2006年中国人民解放军总医院普外科收治的14例下腔静脉平滑肌肉瘤病人的临床资料进行回顾性分析。结果12例病人实施手术,其中11例行肿瘤及相应的下腔静脉切除和必要的下腔静脉重建,1例仅行剖腹探查肿瘤活检;2例因远处转移而未手术。结论肿瘤整块切除及必要的下腔静脉重建是治疗下腔静脉平滑肌肉瘤的有效方法。 Objective To evaluate the clinical characteristics of leiomyosarcoma of inferior vena cava and to summarize the experience on the treatment of leiomyosarcoma of the inferior vena cava. Methods The clinical data of 14 patients with leiomyosarcoma of inferior vena cava admitted between 1986 and 2006 in the General Hospital of PLA was analyzed retrospectively, Results The diagnosis of the 12 patients was certained by pathology. Eleven cases were resected successfully with necessary reconstruction of inferior vena cava and only one patient was performed laparotomy. Two patients were not operated because of distant metastases. Conclusion The en bloc resection with necessary reconstruction of inferior vena cava is an effective method to treat leiomyosarcoma of inferior vena cava.
出处 《中国实用外科杂志》 CSCD 北大核心 2007年第4期281-283,共3页 Chinese Journal of Practical Surgery
关键词 下腔静脉 平滑肌肉瘤 inferior vena cava leiomyosarcoma
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  • 1Blum U, Wildanger G, Windfuhr M, et al. Preoperative CT and MR imaging of inferior vena cava leiomyoma. Eur J Radiol,1995, 2: 23-27.
  • 2Yamaguchi R, Yamaguchi A, Isogai M, et al. Leiomyosarcoma of the inferior vena cava. Resection and reconstruction of the renal vein using the gonadal vein. Surg Today, 1998, 28 : 359-361.
  • 3Hardwigsen J,Balandraud P,Ananian P,et al.Leiomyosarcoma of the retrohepatic portion of the inferior vena cava:clinical presentation and surgical management in five patients.J Am Coll Surg,2005,200:57-63.
  • 4Ryuzo Yamaguchi,Akihiro Yamaguchi,Masatoshi Isogai,Akihiro Hori,Yukoh Kin. Leiomyosarcoma of the Inferior Vena Cava. Resection and Reconstruction of the Renal Vein Using the Gonadal Vein[J] 1998,Surgery Today(3):359~361
  • 5余永强,杜临安,柏亚,钱银锋,陈骏.下腔静脉平滑肌肉瘤一例[J].中华放射学杂志,2003,37(1):90-91. 被引量:8

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