Intravenous leiomyomatosis(IVL)is a rare,histologically benign uterine smooth muscle tumor with malignant biological behavior due to its propensity for intravascular extension.[1]While gynecological in origin,its most...Intravenous leiomyomatosis(IVL)is a rare,histologically benign uterine smooth muscle tumor with malignant biological behavior due to its propensity for intravascular extension.[1]While gynecological in origin,its most severe manifestations are cardiovascular,arising from tumor propagation through the venous system into the inferior vena cava(IVC),right heart,and pulmonary arteries,mimicking thromboembolic disease.[2,3]This can lead to pulmonary embolism(PE),right heart obstruction,and even sudden cardiac death.[4]Diagnosis is challenging,often delayed by misdiagnosis as conventional PE.We present two cases of IVL initially presenting with PE,highlighting the critical cardiovascular implications and diagnostic pitfalls.展开更多
Based on the alternation of scenes,awareness of time is analyzed from three perspectives.The common one is to be aware of time flow in the change of scenes.The outstanding ones include the psychological and philosophi...Based on the alternation of scenes,awareness of time is analyzed from three perspectives.The common one is to be aware of time flow in the change of scenes.The outstanding ones include the psychological and philosophical perception of time.Being aware of the temporality of life,the individual need to take an open and unforced attitude toward death -"carpe diem!".展开更多
基金supported by the Capital Medical University Undergraduate Innovation Project 2025(XSKY20-25251).
文摘Intravenous leiomyomatosis(IVL)is a rare,histologically benign uterine smooth muscle tumor with malignant biological behavior due to its propensity for intravascular extension.[1]While gynecological in origin,its most severe manifestations are cardiovascular,arising from tumor propagation through the venous system into the inferior vena cava(IVC),right heart,and pulmonary arteries,mimicking thromboembolic disease.[2,3]This can lead to pulmonary embolism(PE),right heart obstruction,and even sudden cardiac death.[4]Diagnosis is challenging,often delayed by misdiagnosis as conventional PE.We present two cases of IVL initially presenting with PE,highlighting the critical cardiovascular implications and diagnostic pitfalls.
文摘Based on the alternation of scenes,awareness of time is analyzed from three perspectives.The common one is to be aware of time flow in the change of scenes.The outstanding ones include the psychological and philosophical perception of time.Being aware of the temporality of life,the individual need to take an open and unforced attitude toward death -"carpe diem!".
