• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Uterine Intravenous Leiomyomatosis with Cardiac Extension: Radiologic Assessment with Surgical and Pathologic Correlation
【24h】

Uterine Intravenous Leiomyomatosis with Cardiac Extension: Radiologic Assessment with Surgical and Pathologic Correlation

机译：子宫静脉平滑肌瘤伴心脏扩展：与手术和病理相关的放射学评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We present the computed tomography (CT) and magnetic resonance (MR) imaging findings of a 71-year-old woman with a cardiac extension of intravenous leiomyoma (IVL) that arose from the uterus, extended to the inferior vena cava (IVC), and reached the right ventricle through the right ovarian vein. Radiologic-pathologic correlation showed that the intravascular cord-like mass originating from the IVC and extending to the right ventricle was composed of degenerated smooth muscle cells with a number of large vessels that were regarded as arteries; moreover, the arteries within the cord-like mass appeared to be looping internally. Given the disappearance of the right ovarian venous wall around the IVL pathologically, extracting the tumor from the ovarian vein during an operation is considered to be impossible retrospectively. Also it was difficult to identify even the intravenous extension of the uterine leiomyoma histopathologically. Therefore, contrast-enhanced CT, in particular arterial phase imaging, provided important information that revealed the mass, range, and path of the lesion, ensuring that an appropriate operative plan could be drawn up and the tumor completely excised.
机译：我们介绍了一名71岁女性的子宫X线计算机断层扫描（CT）和磁共振成像（MR）影像学发现，其心脏延伸范围是从子宫产生的静脉平滑肌瘤（IVL），延伸至下腔静脉（IVC），并通过右卵巢静脉到达右心室。影像学与病理学的相关性表明，血管腔内样物质起源于IVC并延伸至右心室，由变性的平滑肌细胞和许多被认为是动脉的大血管组成。此外，脐带状团块内的动脉似乎在内部loop回。考虑到IVL周围右侧卵巢静脉壁的病理消失，在手术期间从卵巢静脉取出肿瘤被认为是不可能的。而且，甚至组织病理学上甚至不能确定子宫平滑肌瘤的静脉内延伸。因此，对比增强的CT，特别是动脉期成像，提供了重要信息，可揭示病变的质量，范围和路径，从而确保可以制定适当的手术计划并完全切除肿瘤。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号