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中华临床医师杂志(电子版) ›› 2024, Vol. 18 ›› Issue (06) : 600 -603. doi: 10.3877/cma.j.issn.1674-0785.2024.06.014

病例报告

下腔静脉平滑肌肉瘤的手术治疗二例
贾宝明1, 罗成华2,()   
  1. 1. 030800 山西 晋中,晋中市太谷区人民医院普通外科
    2. 101109 北京,北京大学人民医院腹膜后肿瘤外科
  • 收稿日期:2024-02-21 出版日期:2024-06-15
  • 通信作者: 罗成华

Surgical treatment of leiomyosarcoma of the inferior vena cava: report of two cases

Baoming Jia, Chenghua Luo()   

  • Received:2024-02-21 Published:2024-06-15
  • Corresponding author: Chenghua Luo
引用本文:

贾宝明, 罗成华. 下腔静脉平滑肌肉瘤的手术治疗二例[J]. 中华临床医师杂志(电子版), 2024, 18(06): 600-603.

Baoming Jia, Chenghua Luo. Surgical treatment of leiomyosarcoma of the inferior vena cava: report of two cases[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(06): 600-603.

例1 患者,女性,54岁,主因“血尿2周”就诊于北京大学人民医院腹膜后肿瘤外科。既往史:12年前行右踝骨折内固定术。查体:未见明显异常。术前影像:上腹部MR增强扫描示:下腔静脉走行区肿物,需鉴别平滑肌肉瘤或其它,右肾动静脉受累()。

图1 病例1上腹部MR部分图像。图a为T1W1横断位;图b为T2W1横断位;图c为DWI横断位;图d为T1W1冠状位;图e为T1W1+C矢状位
图2 病例1下腔静脉肿瘤手术标本
图3 病例1下腔静脉肿瘤组织病理切片及免疫组化切片图像。图a为病例1下腔静脉肿瘤组织病理切片图像(HE×40);图b为病例1下腔静脉肿瘤组织病理切片图像(HE×100);图c为病例1下腔静脉肿瘤组织免疫组化切片图像
图4 病例2上腹部MR部分图像。图a为T1W1横断位;图b为T2W1横断位;图c为DWI横断位;图d为T1W1冠状位;图e为T1W1+C矢状位
图5 病例2下腔静脉肿瘤手术标本
图6 病例2下腔静脉肿瘤组织病理切片及免疫组化切片图像。图a为病例2下腔静脉肿瘤组织病理切片图像(HE×40);图b为病例2下腔静脉肿瘤组织病理切片图像(HE×100);图c为病例2下腔静脉肿瘤组织免疫组化切片图像
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