Case Report: A case of uterine leiomyosarcoma metastasized to the vena cava, excised with the aid of preoperative CT three-dimensional imaging

被引:1
作者
Long, Ling [1 ]
Zhou, Ling [2 ]
Ying, Demei [1 ]
Huang, Yan [1 ]
Yang, Juan [1 ]
Zhou, Lu [1 ]
Li, Sufen [1 ]
He, Xuan [3 ]
Xie, Rongkai [1 ]
机构
[1] Army Med Univ, Mil Med Univ 3, Xinqiao Hosp, Dept Obstet & Gynecol, Chongqing, Peoples R China
[2] Army Med Univ, Mil Med Univ 3, Xinqiao Hosp, Dept Endocrinol, Chongqing, Peoples R China
[3] Army Med Univ, Mil Med Univ 3, Daping Hosp, Canc Ctr, Chongqing, Peoples R China
关键词
uterine leiomyosarcoma; vena cava; CT 3D imaging; metastases; extracorporeal circulation; LEIOMYOMAS; MANAGEMENT;
D O I
10.3389/fonc.2022.905857
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Leiomyosarcoma of the uterus (ULMS) is a rare malignant tumor originating from embryonic mesenchymal cells. ULMS tends to metastasize to the lungs, lymph nodes, liver, and bone. Computed tomography three-dimensional (CT 3D) imaging is an advanced diagnostic technique that can track the vessels and their relationships with tumors and reveal the invasion of vessels, including small vessels, around tumors in any slice. Here, we describe a case in which ULMS extended to the retrohepatic inferior vena cava. To date, no report has described resection of metastatic ULMS of the vena cava through supplemental CT 3D imaging. Our patient presented with right lumbar abdominal pain as the main symptom. After using CT 3D reconstruction to accurately assess the relationship between the tumor and the surrounding organs and blood vessels before the operation, the operation was successfully completed through multidisciplinary surgical collaboration.
引用
收藏
页数:7
相关论文
共 22 条
[1]   PGR Gene Fusions Identify a Molecular Subset of Uterine Epithelioid Leiomyosarcoma With Rhabdoid Features [J].
Chiang, Sarah ;
Samore, Wesley ;
Zhang, Lei ;
Sung, Yun-Shao ;
Turashvili, Gulisa ;
Murali, Rajrnohan ;
Soslow, Robert A. ;
Hensley, Martee L. ;
Swanson, David ;
Dickson, Brendan C. ;
Stewart, Colin J. R. ;
Oliva, Esther ;
Antonescu, Cristina R. .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2019, 43 (06) :810-818
[2]   Secondary surgical resection for patients with recurrent uterine leiomyosarcoma [J].
Cybulska, Paulina ;
Sioulas, Vasileios ;
Orfanelli, Theofano ;
Zivanovic, Oliver ;
Mueller, Jennifer J. ;
Broach, Vance A. ;
Roche, Kara C. Long ;
Sonoda, Yukio ;
Hensley, Martee L. ;
O'Cearbhaill, Roisin E. ;
Chi, Dennis S. ;
Alektiar, Kaled M. ;
Abu-Rustum, Nadeem R. ;
Leitao, Mario M., Jr. .
GYNECOLOGIC ONCOLOGY, 2019, 154 (02) :333-337
[3]   Doxorubicin plus dacarbazine, doxorubicin plus ifosfamide, or doxorubicin alone as a first-line treatment for advanced leiomyosarcoma: A propensity score matching analysis from the European Organization for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group [J].
D'Ambrosio, Lorenzo ;
Touati, Nathan ;
Blay, Jean-Yves ;
Grignani, Giovanni ;
Flippot, Ronan ;
Czarnecka, Anna M. ;
Piperno-Neumann, Sophie ;
Martin-Broto, Javier ;
Sanfilippo, Roberta ;
Katz, Daniela ;
Duffaud, Florence ;
Vincenzi, Bruno ;
Stark, Daniel P. ;
Mazzeo, Filomena ;
Tuchscherer, Armin ;
Chevreau, Christine ;
Sherriff, Jenny ;
Estival, Anna ;
Litiere, Saskia ;
Sents, Ward ;
Ray-Coquard, Isabelle ;
Tolomeo, Francesco ;
Le Cesne, Axel ;
Rutkowski, Piotr ;
Stacchiotti, Silvia ;
Kasper, Bernd ;
Gelderblom, Hans ;
Gronchi, Alessandro .
CANCER, 2020, 126 (11) :2637-2647
[4]   Incidence of Sarcoma Histotypes and Molecular Subtypes in a Prospective Epidemiological Study with Central Pathology Review and Molecular Testing [J].
Ducimetiere, Francoise ;
Lurkin, Antoine ;
Ranchere-Vince, Dominique ;
Decouvelaere, Anne-Valerie ;
Peoc'h, Michel ;
Istier, Luc ;
Chalabreysse, Philippe ;
Muller, Christine ;
Alberti, Laurent ;
Bringuier, Pierre-Paul ;
Scoazec, Jean-Yves ;
Schott, Anne-Marie ;
Bergeron, Christophe ;
Cellier, Dominic ;
Blay, Jean-Yves ;
Ray-Coquard, Isabelle .
PLOS ONE, 2011, 6 (08)
[5]  
ECHT G, 1990, CANCER, V66, P35, DOI 10.1002/1097-0142(19900701)66:1<35::AID-CNCR2820660108>3.0.CO
[6]  
2-V
[7]   Consensus recommendations of three-dimensional visualization for diagnosis and management of liver diseases [J].
Fang, Chihua ;
An, Jihyun ;
Bruno, Antonio ;
Cai, Xiujun ;
Fan, Jia ;
Fujimoto, Jiro ;
Golfieri, Rita ;
Hao, Xishan ;
Jiang, Hongchi ;
Jiao, Long R. ;
Kulkarni, Anand V. ;
Lang, Hauke ;
Lesmana, Cosmas Rinaldi A. ;
Li, Qiang ;
Liu, Lianxin ;
Liu, Yingbin ;
Lau, Wanyee ;
Lu, Qiping ;
Man, Kwan ;
Maruyama, Hitoshi ;
Mosconi, Cristina ;
Ormeci, Necati ;
Pavlides, Michael ;
Rezende, Guilherme ;
Sohn, Joo Hyun ;
Treeprasertsuk, Sombat ;
Vilgrain, Valerie ;
Wen, Hao ;
Wen, Sai ;
Quan, Xianyao ;
Ximenes, Rafael ;
Yang, Yinmo ;
Zhang, Bixiang ;
Zhang, Weiqi ;
Zhang, Peng ;
Zhang, Shaoxiang ;
Qi, Xiaolong .
HEPATOLOGY INTERNATIONAL, 2020, 14 (04) :437-453
[8]   Retrospective review of 208 patients with leiomyosarcoma of the uterus: prognostic indicators, surgical management, and adjuvant therapy [J].
Giuntoli, RL ;
Metzinger, DS ;
DiMarco, CS ;
Cha, SS ;
Sloan, JA ;
Keeney, GL ;
Gostout, BS .
GYNECOLOGIC ONCOLOGY, 2003, 89 (03) :460-469
[9]   Adjuvant Gemcitabine Plus Docetaxel Followed by Doxorubicin Versus Observation for High-Grade Uterine Leiomyosarcoma: A Phase III NRG Oncology/Gynecologic Oncology Group Study [J].
Hensley, Martee L. ;
Enserro, Danielle ;
Hatcher, Helen ;
Ottevanger, Petronella B. ;
Krarup-Hansen, Anders ;
Blay, Jean-Yves ;
Fisher, Cyril ;
Moxley, Katherine M. ;
Lele, Shashikant B. ;
Lea, Jayanthi S. ;
Tewari, Krishnansu S. ;
Thaker, Premal H. ;
Zivanovic, Oliver ;
O'Malley, David M. ;
Robison, Katina ;
Miller, David S. .
JOURNAL OF CLINICAL ONCOLOGY, 2018, 36 (33) :3324-+
[10]   UTERINE LEIOMYOMAS - CORRELATION OF MR, HISTOPATHOLOGIC FINDINGS, AND SYMPTOMS [J].
HRICAK, H ;
TSCHOLAKOFF, D ;
HEINRICHS, L ;
FISHER, MR ;
DOOMS, GC ;
REINHOLD, C ;
JAFFE, RB .
RADIOLOGY, 1986, 158 (02) :385-391