一例血管静脉内平滑肌瘤病的病例报告并文献回顾

A Case Report of Intravenous Leiomyomatosis with Literature Review

摘要: 血管静脉内平滑肌瘤病(intravenous leiomyomatosis, IVL)是临床中少见的良性平滑肌瘤，常沿静脉壁生长，表现出恶性生物学行为，其临床表现多种多样，术前诊断较为困难，最有效的治疗为手术切除治疗，必要时需要多学科联合治疗，且术后需要长期随访。通过西北妇女儿童医院妇科收治的1名年轻女性血管静脉内平滑肌瘤的患者病例进行临床分析，撰写本文的目的在于初步认识血管平滑肌瘤这一临床罕见病，警惕子宫肌瘤或有子宫肌瘤手术史的病人，并根据患者现有情况，决定后续治疗方式。现对病例做出如下报道。

Abstract: Intravenous leiomyomatosis (IVL) is a rare benign smooth muscle tumor in clinical practice. It often grows along the venous wall and exhibits malignant biological behavior. Its clinical manifestations are diverse, and preoperative diagnosis is challenging. The most effective treatment is surgical resection, with multidisciplinary combined therapy when necessary. Long-term postoperative follow-up is required. This article presents a clinical analysis of a case of intravenous leiomyomatosis in a young female patient admitted to the Department of Gynecology of Northwest Women’s and Children’s Hospital. The aim of this paper is to enhance preliminary understanding of this clinically rare disease, raise vigilance in patients with uterine fibroids or a history of uterine fibroid surgery, and determine subsequent treatment strategies based on the patient’s condition. The case is reported as follows.