盆腔宫旁静脉内平滑肌瘤二例
Two Cases of Pelvic Parauterine Venous Leiomyoma
DOI: 10.12677/acm.2025.151210, PDF,   
作者: 张 宇:青岛大学附属医院妇科,山东 青岛;青岛大学青岛医学院,山东 青岛;焦今文, 徐巾朓, 王黎明*:青岛大学附属医院妇科,山东 青岛;周云婷:青岛大学青岛医学院,山东 青岛;刘云丽:青岛西海岸新区人民医院病理科,山东 青岛
关键词: 静脉内平滑肌瘤子宫平滑肌瘤手术疾病特点Intravenous Leiomyoma Uterine Leiomyoma Operation Disease Characteristics
摘要: 静脉内平滑肌瘤(intravenous leiomyomatosis, IVL)是一种少见的良性平滑肌瘤,可沿盆腔静脉、卵巢静脉延伸至下腔静脉、心脏,甚至肺动脉,其临床症状及影像学特征不典型,极易误诊或漏诊。本文报道2例盆腔静脉内平滑肌瘤,并复习相关文献及分析总结疾病特点。
Abstract: Pelvic intravenous leiomyoma (intravenous leiomyomatosis, IVL) is a rare benign leiomyoma that can extend along the pelvic and ovarian veins to the inferior vena cava, heart, and even pulmonary artery. Its clinical symptoms and imaging features are atypical, making it prone to misdiagnosis or missed diagnosis. This article reports 2 cases of pelvic venous leiomyoma and reviews relevant literature to analyze and summarize the characteristics of the disease.
文章引用:张宇, 焦今文, 周云婷, 徐巾朓, 刘云丽, 王黎明. 盆腔宫旁静脉内平滑肌瘤二例[J]. 临床医学进展, 2025, 15(1): 1571-1575. https://doi.org/10.12677/acm.2025.151210

参考文献

[1] Ordulu, Z., Chai, H., Peng, G., McDonald, A.G., De Nictolis, M., Garcia-Fernandez, E., et al. (2020) Molecular and Clinicopathologic Characterization of Intravenous Leiomyomatosis. Modern Pathology, 33, 1844-1860. [Google Scholar] [CrossRef] [PubMed]
[2] Barnaś, E., Skręt-Magierło, J.E., Paszek, S., Kaznowska, E., Potocka, N., Skręt, A., et al. (2023) Two Oncomirs, Mir-182-5p and Mir-103a-3p, Involved in Intravenous Leiomyomatosis. Genes, 14, Article No. 712. [Google Scholar] [CrossRef] [PubMed]
[3] Zhang, X., Wu, L., Xu, R., Zhu, C., Ma, G., Zhang, C., et al. (2019) Identification of the Molecular Relationship between Intravenous Leiomyomatosis and Uterine Myoma Using RNA Sequencing. Scientific Reports, 9, Article No. 1442. [Google Scholar] [CrossRef] [PubMed]
[4] Ma, G., Miao, Q., Liu, X., Zhang, C., Liu, J., Zheng, Y., et al. (2016) Different Surgical Strategies of Patients with Intravenous Leiomyomatosis. Medicine, 95, e4902. [Google Scholar] [CrossRef] [PubMed]
[5] 姚春晓, 薛敏, 张蒂荣, 等. 盆腔区域子宫静脉内平滑肌瘤病的超声特征分析[J]. 罕少疾病杂志, 2021, 28(2): 55-57.
[6] Wang, Q., Li, Y., Gu, X., Zhang, N., Xie, J., Niu, B., et al. (2023) Imaging Diagnosis of Intravenous Leiomyomatosis: An Institutional Experience. Clinical Radiology, 78, 655-660. [Google Scholar] [CrossRef] [PubMed]
[7] 胡麦果, 张君, 钟晓红, 等. 子宫静脉内平滑肌瘤病的超声诊断价值[J]. 中国超声医学杂志, 2024, 40(6): 698-701.
[8] 周延, 陈永晔, 刘剑羽, 等. 子宫内膜间质肉瘤与特殊类型良性平滑肌瘤MR影像学特征差异的探索[J]. 中国微创外科杂志, 2023, 23(4): 284-289.
[9] 中国医师协会妇产科医师分会妇科肿瘤学组. 盆腔静脉内平滑肌瘤病临床诊治中国专家共识[J]. 中华妇产科杂志, 2023, 58(4): 252-258.
[10] 范灵玲, 朱瑾, 陶祥, 等. 子宫静脉内平滑肌瘤病64例临床病理分析[J]. 现代妇产科进展, 2015, 24(4): 262-265.
[11] 任健, 李晟辉, 刘勇. 子宫静脉内平滑肌瘤病51例临床分析[J]. 中国医刊, 2023, 58(6): 679-684.
[12] 王蛟, 张宁宁, 杨清. 子宫静脉内平滑肌瘤病48例临床分析[J]. 国际妇产科学杂志, 2020, 47(5): 554-557+601.