表现为下肢深静脉血栓的盆腔肿瘤四例报告
刘铖
李鼎锋
郭钧
崔秋
1.解放军 307 医院, 北京,1000712.解放军 307 医院, 北京,1000713.解放军 307 医院, 北京,1000714.解放军 307 医院, 北京,100071
摘要：Objective To explore the reasons for the misdiagnosis of pelvic tumors as lower extremity deep venous thrombosis ( DVT ), as well as the diagnostic and treatment methods for pelvic tumors.Methods Four patients with pelvic tumors were misdiagnosed as lower extremity DVT. The reasons of misdiagnosis and diagnosis and treatment for pelvic tumors were analyzed based on the relevant literatures.Results There were one case of ifbroneuroma, one cases of moderately differentiated squamous-cell carcinoma, one case of myxo-lfuidity liposarcoma and one case of synovial sarcoma. Tumors in the patient with fibroneuroma were completely removed. Malignant tumors in the other 3 patients were resected, when the tumor size was shrinked with a clear boundary and the blood supply was decreased after 3 cycles of intra-arterial chemotherapy via an implanted pump from the femoral artery to the common iliac artery. No recurrence or metastasis was found in the follow-up.Conclusions The clinical manifestations are untypical in the patients with pelvic tumors, which are easily misdiagnosed as DVT. Therefore, great attention should be paid in the diagnosis. Resection is preferred for benign tumors, and intra-arterial intervention chemotherapy should be applied ifrst for malignant tumors, followed by surgery.
关键词：盆腔肿瘤静脉血栓形成神经纤维瘤肿瘤鳞状细胞脂肪肉瘤黏液样肉瘤滑膜误诊
分类号：R738.1(运动系肿瘤)
论文发表日期：2015-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 509-511 )
英文信息