Endometrial Stromal Sarcoma Metastatic from the Uterus to the Inferior Vena Cava and Right Atrium

被引：12

作者：

Scher, Daniel ^{[1
]}

Nghiem, William ^{[2
]}

Aziz, Salim ^{[3
]}

Rahbar, Rodeen ^{[3
]}

Banks, Whitney ^{[4
]}

Venbrux, Anthony ^{[2
]}

Sarin, Shawn ^{[2
]}

机构：

[1] George Washington Univ Hosp, Dept Diagnost Radiol, Washington, DC 20037 USA

[2] George Washington Univ Hosp, Dept Vasc & Intervent Radiol, Washington, DC 20037 USA

[3] George Washington Univ Hosp, Dept Cardiothorac Surg, Washington, DC 20037 USA

[4] George Washington Univ Hosp, Dept Pathol, Washington, DC 20037 USA

来源：

TEXAS HEART INSTITUTE JOURNAL | 2015年 / 42卷 / 06期

关键词：

Heart atria/surgery; heart neoplasms/secondary/surgery; neoplasm invasiveness; sarcoma; endometrial stromal/complications/diagnosis/pathology/surgery; treatment outcome; uterine neoplasms/pathology; vascular access devices; vena cava; inferior/pathology/surgery; THROMBECTOMY; MANAGEMENT; ANGIOVAC;

D O I：

10.14503/THIJ-14-4235

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Endometrial stromal sarcoma metastases usually occur within the pelvis and rarely involve the great vessels or the heart. We present the case of a 55-year-old woman who was referred for endovascular therapy to treat presumed thrombosis of the inferior vena cava. The suspected thrombus was recalcitrant to endovascular removal with use of an AngioVac venous drainage device. Results of an intraprocedural transvenous biopsy revealed the mass to be the intravascular extension of an endometrial stromal sarcoma. The patient underwent surgical excision of the tumor, and, shortly thereafter, a hysterectomy and salpingo-oophorectomy. This complex case highlights both the rarity of malignancy masquerading as caval thrombus and the importance of multispecialty collaboration.

引用

页码：558 / 560

页数：3

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