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目的:探讨心脏内平滑肌瘤病伴腹盆腔巨大肿瘤的多学科综合诊治策略。方法:回顾性分析我院收治的2例心脏内平滑肌瘤病伴腹盆腔巨大肿瘤病人的临床资料,并对相关文献进行复习。结果:2例病人均行一期手术,完整切除原发肿瘤、静脉内瘤栓、全子宫及双侧附件。1例切开右心房摘除心脏及下腔静脉内瘤栓;1例切开右心房及下腔静脉摘除心脏及下腔静脉内瘤栓。术后病理诊断为静脉内平滑肌瘤病。无围手术期死亡及并发症发生。结论:术前应全面评估心脏内平滑肌瘤病伴腹盆腔肿瘤的临床资料,制定多学科协作手术方案,一期经胸和腹联合手术是安全、可行的。
Objective: To investigate the multidisciplinary diagnosis and treatment strategy of intramyocardial leiomyomata with giant abdominal tumor. Methods: The clinical data of 2 cases of cardiac leiomyomata with giant abdominal tumor in our hospital were retrospectively analyzed. The related literatures were reviewed. Results: Two patients underwent primary surgery, complete resection of primary tumor, intravenous tumor thrombus, total uterus and bilateral attachment. One patient underwent removal of the right atrium and the inferior vena cava tumor thrombus. One patient underwent excision of the right atrium and inferior vena cava to remove the heart and inferior vena cava tumor plug. Postoperative pathological diagnosis of intravenous leiomyomata. No perioperative deaths and complications occurred. Conclusion: Preoperative comprehensive assessment of intra-articular leiomyoma with pelvic tumor clinical data, the development of multidisciplinary collaborative surgery program, a transthoracic and abdominal surgery is safe and feasible.