Single-stage resection of uterine fibroids and intravascular leiomyomatosis: a case report.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-09-27 DOI:10.1186/s12905-024-03371-x

Jing-Xiao Li, Wei-Qi Zhang, Chao-Hai Lv, Jian-Lin Wen, Chun-Lou Wei, Jing Qian, Xiao-Chun Zeng, Liu-Liu Huang, Bao-Shi Zheng, Hua-Fu Zhou, Ting Zhou

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Abstract

Background: Uterine Fibroids (UFs) are common benign tumors in the female reproductive tract, but their progression to intravascular leiomyomatosis (IVL) is rare. Presently, there are few reports on single-stage resection of UFs and IVL.

Case presentation: A 47-year-old woman, G2P2, had been diagnosed multiple UFs four years ago and now developed heart failure. Imaging examinations revealed that UFs had invaded the right iliac vein and extended into the right atrium through the inferior vena cava. Through multidisciplinary collaboration and a single-stage resection, the patient has survived for over 24 months post-surgery, and her heart function has significantly improved compared to preoperative levels, with no recurrence of UFs observed.

Conclusions: Single-stage resection of IVL and UF is feasible and advantageous for this case, and selecting the appropriate surgical approach is crucial.

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子宫肌瘤和血管内皮肌瘤病的单阶段切除术：病例报告。

背景：子宫肌瘤（UFs）是女性生殖道中常见的良性肿瘤，但其发展为血管内膜异位症（IVL）的情况却很少见。目前，关于单期切除子宫肌瘤和 IVL 的报道很少：一名 47 岁的女性，G2P2，四年前被诊断为多发性 UFs，现在出现了心力衰竭。影像学检查显示，UFs已侵犯右髂静脉，并通过下腔静脉延伸至右心房。通过多学科协作和单阶段切除术，患者术后存活超过24个月，心脏功能较术前明显改善，未发现UFs复发：结论：单阶段切除 IVL 和 UF 对该病例来说是可行且有利的，选择合适的手术方法至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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