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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)
김성태(Seong Tae Kim),정영섭(Young Sub Jung),이동규(Dong Kyu Lee),신봉식(Bong Sik Shin),정용환(Yong Hwan Jung),이효진(Hyo Jin Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.4
Intravenous leiomyomatosis is an uncommon uterine tumor characterized by the growth of histologically benign smooth muscle initially into venous channels within the broad ligament, intrauterine, and iliac vein, and can extend to inferior vena cava, and right side of the heart. Intravenous leiomyomatosis is always grossly visible as worm-like plugs within the involved vessels. A 41-year-old woman presented with lower abdominal mass, and she had undergone total abdominal hysterectomy and left salpingoophorectomy for leiomyoma of uterus. On pathological examination it was diagnosed as intravenous leiomyomatosis. 16 month later, She was admitted with lower abdominal mass on retroperitoneal cavity. The patient was successfully treated by resection of recurred mass and right salpingoophorectomy. A case of recurrent intravenous leiomyomatosis is presented with a brief review of literatures.
진건(Keon Jin) 대한여성건강학회 2008 여성건강 Vol.9 No.2
The leiomyoma is a common benign uterine smooth muscle tumor. Intravenous leiomyomatosis is a rare variant of uterine leiomyoma characterized by an unusual, worm-like growth pattern within the veins of the uterus and broad ligaments. Rare case of this tumor extends through pelvic or ovarian veins to inferior vena cava and reach the right atrium and ventricle of the heart. A 41year-old woman presented with vaginal bleeding, and she had undergone total abdominal hysterectomy and left salpingectomy for leiomyoma of uterus. On pathological report, it was diagnosed as intravenous leiomyomatosis. I report a case of intravenous leiomyomatosis of the uterus with a brief review of literatures.
최종열 ( Jong Yeol Choi ),이천준 ( Chun June Lee ),김원규 ( Won Gyu Kim ),조성래 ( Sung Rae Cho ),신홍천 ( Hong Chun Shin ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.6
Intravenous leiomyomatosis (IVL) with intracaval mass, cardiac extension, and pulmonary metastasis is rare and it is characterized by nodular masses of smooth muscle proliferation that may extend to variable distances. We experienced a case of the intravenous leiomyomatosis originating from the uterus and extending to the ovarian veins, the iliac veins, the inferior vena cava, the right atrium and the lung. And ti was diagnosed from the various preoperative studies and operated successfully through the single-stage approach. So we report it with a brief review of the literature.
유영옥(YO Yoo),이상태(ST Lee),박종섭(JS Park),김창이(CY Kim) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.2
결론 저자는 1981년 6월 11일 본원 산부인과에서 극히 희귀한 자궁의 정맥내 평활근종증을 28세의 경산부에서 경험하고 자궁전적출술과 좌측 부속기 절제술로 치유하였기에 과거의 문헌적 고찰과 함께 보고하는 바이다. lt seems to be rare to experience intravenous leiomyomatosis of the Uterus. In intravenous leiomyomatosis tumors, which histologically benign smooth musle proli-feration, arise from the media and permeate the lumina of the dilated vessels of the uterus. Although masses of smooth muscle cells are seen within veins, and spread is frequently beyond the uterus, intravenous leiomyomatosis seems incapable of distant metastasis or of independent growth once the main tumor mass has been removed. Recently we have experienced a case of intravenous leiomyomatosis of uterus a 28 year old married women post operatively and a brief review of the case and its literature are presented.
Case Reports : A case of huge intravenous Leiomyomatosis with intracardiac extension
( Il Jung Choi ),( Myung Seok Han ),( Moon Seok Cha ) 대한산부인과학회 2010 Journal of Womens Medicine Vol.3 No.1
We present a case of a 48-year-old woman with huge intravenous leiomyomatosis with intracardiac extension, who did not have heart failure nor obstructive symptoms except abdominal distension with palpable mass. She underwent surgery by a one-stage surgical approach and postoperatively prescribed with GnRH agoinst as hormonal therapy. Patients with intravenous leiomyomatosis need long-term observation because of the high recurrence rate of the tumor.
우심방을 침범한 정맥내 평활근종증의 복부단일접근 절제술 1예
박태진,민승기,박대도,안상현,김서민,민상일,하종원,김상준 대한혈관외과학회 2012 Vascular Specialist International Vol.28 No.2
Intravenous leiomyomatosis is a rare benign tumor originating from the uterus that spreads through vessels. In rare cases, intracaval and intracardiac involvement has been described. We report a case of a 64-year-old woman who presented intravenous leiomyomatosis, which originated from the right uterine vein and extended through the inferior vena cava into the right atrium. The tumor was completely removed through a one-stage transabdominal approach with transesophageal echocardiography monitoring. Sparing thoracotomy is important in order to reduce postoperative morbidity and tumor removal by pulling down was technically possible without the risk of embolization.
자궁근종 환자에서 정맥과 우심방 혈전의 방사선학적 소견을 보인 정맥내 평활근종 1예
김제상,강미라,이상철,박표원,김병기,안긍환,장경식 대한내과학회 2004 대한내과학회지 Vol.66 No.5
저자는 과거 자궁근중으로 수술한 50세 여자 환자가 심부전 및 광범위한 혈전증의증으로 본원에 내원하여 수술후 정맥내 평활근종으로 밝혀진 증례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. A case of intravenous leiomyomatosis (IVL) invading the vena cava and extending to the right atrium, a rare benign smooth-muscle tumor, is described. Despite their histological benignity these lesions have a tendency to metastasize and are closely related to the condition called "benign metastasizing leiomyoma" and " intracaval mass and cardiac extension" a 50-year old woman was admitted to the hospital with dyspnea beginning 6 months ago and precious history of hysterectomy due to uterne myoma. Echocardiography revealed severe tricupid valve insufficiency and a mobile elongated mass which occupied the inferior vena cava and was extending into the right ventricular cavity. Pelvic ultrasonography and pelvic MRI identified suspicious metastasis to both ovaries and peritoneum. She underwent resection of the cardiac tumor, conomitant tricuspid annuloplasty with a closure of the foramen ovale and both salphyngo-oophorectomy with vaginal stump mass biopsy. All of them could be histologically identified as IVL.
조성래 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1
Intravenous leiomyomatosis is a rare disease entity of benign smooth muscle invading into the lumen of veins. A case of intravenous leiomyoma with extension into the right atrium is described. A 54-year-old woman with intermittent dizziness and sycope was admitted in our hospital. She had a history of hysterectomy with left oophorectomy for uterine leiomyoma 2years before. The tumor was detected in the inferior vena cava extending into right atrium on echocardiography, chest and abdominal computed tomography. The tumor was successfully removed one-stage with deep hypothermic circulatory arrest under cardiopulmonary bypass through simultaneous sternotomy and laparotomy.
최숙근 ( Suk Keun Choe ),김대연 ( Dae Yeon Kim ),서대식 ( Dae Sik Seo ),김종혁 ( Jong Hyeok Kim ),김용만 ( Yong Man Kim ),김영탁 ( Young Tak Kim ),남주현 ( Joo Hyun Nam ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.3
Intravenous leiomyomatosis (IVL) is rare and it is characterized by intravascular nodular masses of benign smooth muscle that may extend to variable site such as uterus, pelvic veins, inferior vena cava, right sided heart and eventually lung. We experienced an unusual case of IVL originating from the uterus and extending to the lung parenchyma and treated by combined surgery, so we report it with a brief review of the literatures.