腹膜后平滑肌肉瘤侵犯肾静脉、下腔静脉1例报告

黄正楷; 易小敏; 邹君杰; 顾民; 王增军; 居小兵

doi:10.7619/jcmp.20201458

腹膜后平滑肌肉瘤侵犯肾静脉、下腔静脉1例报告

1.
南京医科大学第一附属医院/江苏省人民医院泌尿外科, 江苏南京, 210029
2.
南京医科大学第一附属医院/江苏省人民医院血管外科, 江苏南京, 210029

详细信息

通讯作者:
居小兵, E-mail: doctorjxb@njmu.edu.cn

中图分类号: R738.7;R572.2
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- 文章访问数: 397
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- PDF下载量: 5
出版历程
- 收稿日期: 2021-01-17
- 网络出版日期: 2021-03-22
- 发布日期: 2021-03-14

Retroperitoneal leiomyosarcoma involving the renal vein and inferior vena cava: a case report

1.
Department of Urology Surgery, First Affiliated Hospital of Nanjing Medical University, Jiangsu Provincial People's Hospital, Nanjing, Jiangsu, 210029
2.
Department of Vascularsurgery, First Affiliated Hospital of Nanjing Medical University, Jiangsu Provincial People's Hospital, Nanjing, Jiangsu, 210029

摘要

摘要: 1例32岁女性患者因右侧间断性腰痛入院，影像学检查提示，腹膜后占位，压迫右肾、下腔静脉。患者行右肾根治性切除术联合下腔静脉人造血管移植术，术后病理检查显示为腹膜后平滑肌肉瘤，术后予以多柔比星、环磷酰胺、顺铂化疗。术后复查见下腔静脉血栓形成，予利伐沙班抗凝治疗。随访半年无不适、复发或转移。
- 腹膜后肉瘤 /
- 平滑肌肉瘤 /
- 下腔静脉
Abstract: A 32-year-old female patient was admitted to hospital due to intermittent right pain in waist. Imaging findings revealed a retroperitoneal space occupying which compressed right kidney and inferior vena cava. Radical nephrectomy combined with artificial vascular transplantation were performed. Pathological examination confirmed as retroperitoneal leiomyosarcoma. Chemotherapy of doxorubicin, cyclophosphamide and cisplatin in combination was used after surgery. Rivaroxaban was given for anticoagulation due to inferior vena cava thrombosis during the follow-up. No discomfort, recurrence or metastasis were found after half a year follow-up.
- retroperitoneal sarcoma /
- leiomyosarcoma /
- inferior vena cava

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图 1 腹膜后平滑肌肉瘤影像学资料

A: MRI T2WI图; B: MRI DWI图; C: MRI冠状面重建; D: 增强CT图。

下载: 全尺寸图片幻灯片

图 2 腹膜后平滑肌肉瘤术后病理图

A: HE染色(放大倍数40倍); B: 荧光显微镜下FISH检测

下载: 全尺寸图片幻灯片

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