Head and Neck Imaging
CT D iagnosis of Intravenous Leiomyomatosis Extending to Inferior Vena Cave and Heart
Author：GUO Yu-feng, FAN Miao, ZHU Jun-feng,et al.
affiliation：Department of Gynaecology and Obstetrics, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, Guangdong Province, China
PDFAbstract
Objective Intravenous leiomyomatosis extending to inferior vena cava and heart is one of the most challenging conditions for surgical treatment. We explored the use of CT in preoperative assessment for this disease. Methods 4 patients with intravenous leiomyomatosis extending to inferior vena cava and heart were reviewed from the year 2010 to 2017, focusing on the CT finding characteristics and surgical procedures in clinical treatment. Results All patients were diagnosed correctly combining the clinical medical history and CT imaging. 3 patients had tumors confined within the inferior vena cava, and 1 patient had tumors intruding into the right atrum, the right ventricle and the pulmonary artery. All patients had multiple pelvis soft masses extending into inferior vena cava throght the iliac veins, and had tumors invading into lung. All operations were successfully performed by cooperation including gynecology , cardiac surgery, and vascular surgery, without severve complications or deaths. Conclusion CT imging can present lacation, size, and full-scale extension of intravenous leiomyomatosis lesions, and can be used as first-line imaging technique in preoperative assessment, having great significance in making surgical plan and obtaining successful outcome.
【Keyword】Leiomyomatosis; Inferior Vena Cava; Heart; Tomography, X-ray Computed
【Chart number】R322.1+1
【Document Identification Number】A
【DOI】 10.3969/j.issn.1672- 5131.2018.06.002
Chinese journal of CT and MRI
th16Volume， th 6 Issue
2018Year06Month
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