하대정맥, 심장, 폐동맥까지 전이된 혈관내 평활근종증 1예
A CASE OF INTRAVASCULAR LEIOMYOMATOSIS EXTENDING TO INFERIOR VENA CAVA, RIGHT HEART, AND PULMONARY ARTERY
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초록
혈관내 평활근종증은 정맥의 내강을 침범하는 평활근종양으로 조직학적으로 양성이지만 하대정맥, 심장, 폐등의 다른 장기로의 전이를동반하는 드문 질환이다. 저자들은 자궁근종으로 자궁절제술을 시행받고 7년 후 운동 중 발생한 실신을 주소로 내원한 49세 여성에서 골반내 평활근종에서 시작되어 난소정맥, 하대정맥, 심장, 폐혈관까지 전이된 혈관내 평활근종을 여러 술 전 검사들을 통하여 진단하고 개흉술이나 전체순환정지 없이 한 차례의 개복술을 통해 성공적으로 치료한 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Intravascular leiomyomatosis is a rare entity of benign smooth muscle tumor invading into the lumen of veins. Although these tumors are histologically benign they sometimes extend into the cardiac cavity and can cause sudden death due to their incarceration into the artrioventricular orifice. We present a case of the intravascular leiomyomatosis originating from huge leiomyoma in the pelvic cavity and extending to the ovarian veins, the inferior vena cava, the right atrium, the right ventricle and the pulmonary artery. She underwent surgery by a single-stage o including laparotomy and venotomy without thoracotomy, and the tumor was successfully removed. Therefore, we report this case with a brief review of the literature.
참고문헌 (13)
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