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Computed tomography evaluation of extensive intravenous angioleiomyoma: a case report.
BMC Medical Imaging ( IF 2.9 ) Pub Date : 2020-02-07 , DOI: 10.1186/s12880-020-0417-2
Rui Sun 1 , Hongwei Guan 1 , Hui Li 2 , Yixuan Bai 1 , Fei Wang 3 , Changzhong Li 1
Affiliation  

BACKGROUND Uterine angioleiomyoma is a rare variant of leiomyoma, and the main therapy is complete surgery. This study introduces the benefit of three-dimensional computed tomography reconstruction for preoperative preparation. CASE PRESENTATION A 50-year-old woman presented because of chest distress after activity, with worsening symptoms. After examination, the final diagnosis was uterine angioleiomyoma. The tumour originated in the uterus; grew into the right iliac vein; coursed along the iliac vein, inferior vena cava, and right atrium; and finally invaded the right ventricle. To best complete the surgery, a multidisciplinary surgery was selected. Before the surgery, a three-dimensional computed tomography reconstruction model was created to assess the tumour status, and this model enabled the surgery to be completed successfully. CONCLUSION Three-dimensional computed tomography reconstruction is of great significance for the preoperative diagnosis of uterine angioleiomyoma and the formulation of surgical treatment plans. Based on its vivid images, surgeons can perform operations more effectively and safely.

中文翻译:

广泛的静脉血管平滑肌瘤的计算机断层扫描评估:一例报告。

背景技术子宫血管平滑肌瘤是平滑肌瘤的一种罕见变体,主要治疗方法是完全手术。这项研究介绍了三维计算机断层扫描重建术前准备的好处。病例介绍一名50岁妇女因活动后胸部不适而出现,症状加重。检查后,最终诊断为子宫血管平滑肌瘤。肿瘤起源于子宫。生长到右静脉;沿along静脉,下腔静脉和右心房行进;最终侵入右心室。为了最好地完成手术,选择了多学科手术。在手术之前,创建了三维计算机断层扫描重建模型以评估肿瘤状态,该模型使手术得以成功完成。结论三维计算机断层扫描重建对子宫血管平滑肌瘤的术前诊断及制定手术方案具有重要意义。基于其生动的图像,外科医生可以更有效,更安全地执行手术。
更新日期:2020-04-22
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