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정영리 ( Young-lee Jung ),최락경 ( Rak-kyeong Choi ),엄문용 ( Moon-yong Eom ),조현아 ( Hyun-a Cho ),최웅 ( Woong Choi ),김동진 ( Dong-jin Kim ),함의근 ( Ui-geun Ham ) 대한내과학회 2016 대한내과학회지 Vol.91 No.2
본 증례에서는 드문 전이성 병변인 범발성 평활근종증과 혈관성 평활근종증이 동시에 발현된 환자에게 다학제 협진을 통한 접근으로 한 단계로 완전한 수술적 절제를 시행하고 재발 없이 치료를 받은 환자의 증례를 보고하였으며 이러한동일한 근육에서 유래된 두 전이성 병변의 연관성에 대하여는 아직 밝혀진 바가 없으므로 이에 대한 연관성에 대한 연구가 필요할 것으로 생각되어 간단한 문헌고찰과 함께 보고하는 바이다. Leiomyomatosis refers to benign smooth muscle cell tumors that often arise from unusual growth patterns and include benign metastasizing leiomyoma, disseminated peritoneal leiomyomatosis, and intravenous leiomyomatosis. Intravenous leiomyomatosis is the extension of a vascular tumor into the venous channels, whereas disseminated peritoneal leiomyomatosis is characterized by multiple leiomyomas growing along the submesothelial tissues of the abdominopelvic peritoneum. It is extremely rare for intravenous leiomyomatosis and disseminated peritoneal leiomyomatosis to occur simultaneously. A 42-year-old female presented with disseminated peritoneal leiomyomatosis and intravenous leiomyomatosis extended through the inferior vena cava into the right side of the heart. The patient underwent one-stage surgery under simultaneous sternotomy and laparotomy, and radical excision of the tumor was achieved using cardiopulmonary bypass. Here we describe a case in which complete removal of a leiomyomatosis with an unusual growth pattern was successfully performed using one-stage surgery. (Korean J Med 2016;91:185-190)