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目的:了解下腔静脉平滑肌肉瘤的临床特点,提高对下腔静脉平滑肌肉瘤的诊治能力,探讨其合理的治疗方法。方法:对近10年收治的7例下腔静脉平滑肌肉瘤患者的临床资料进行回顾性分析。结果:7例患者均实施手术及经病理证实,6例行肿瘤及相应的下腔静脉切除和必要的下腔静脉重建,1例仅行剖腹探查。结论:肿瘤整块切除及必要的下腔静脉重建是治疗下腔静脉平滑肌肉瘤唯一有效的方法。
Objective: To understand the clinical features of inferior vena cava leiomyosarcoma and to improve the diagnosis and treatment of inferior vena cava leiomyosarcoma, to explore its reasonable treatment. Methods: The clinical data of 7 patients with inferior vena cava leiomyosarcoma treated in the recent 10 years were analyzed retrospectively. Results: All the 7 patients were surgically and pathologically confirmed. Tumors and the corresponding inferior vena cava resection and the necessary IVC reconstruction were performed in 6 patients. Only one laparotomy was performed in 1 patient. CONCLUSIONS: Tumor resection and necessary IVC reconstruction are the only effective methods for the treatment of IVC leiomyosarcoma.