Intravenous leiomyomatosis of the inferior vena cava
- VernacularTitle:下腔静脉内平滑肌瘤病诊治分析
- Author:
Jian YU
;
Lian YUAN
;
Qingxu GUO
;
Jun ZHANG
;
Youdong CHEN
;
Liguo YANG
;
Xiaoming ZHANG
- Publication Type:Journal Article
- Keywords:
Leiomyomatosis;
Diagnosis;
Therapy;
Inferior vena cava
- From:
Chinese Journal of General Surgery
2008;23(4):269-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience on the diagnosis and therapy of intravenous leiomyomatosis(IVL)of the inferior vena cava.Methods Eight IVL patients were treated in our hospital from March 1998 to April 2007. Results The diagnosis of IVL of the inferior vena cava was established histologically by biopsy during inferior vena eavagram before operation in 4 patients.Seven patients received open surgery.Except one patient dying of massive hemorrhage during operation and one IVL recurrence during follow-up,postoperative course was uneventful and an average follow-up of 29 months found no recurrence in the other five patients. Conclusion The final diagnosis of IVL of the inferior vena cava depends on venogram and biopsy,and it is an estrogen dependent tumor originating from uterus leiomyoma.Total surgical extirpation of the tumor is the only effective treatment for IVL.
