PDF(Pubmed)
Abstract：
An elderly man was referred to vascular surgery on incidental discovery of a left retroperitoneal mass ultimately found to be of left renal vein (LRV) origin. He initially presented with recurring lower back pain. CT of the abdomen/pelvis showed a 6.0×5.5 cm lobulated retroperitoneal mass anterior to the infrarenal aorta. Resection of the mass necessitated a multidisciplinary team consisting of medical oncologists, radiation oncologists, urologists and vascular surgeons. In efforts to obtain an R0 margin, en-bloc resection of the LRV from its confluence with the inferior vena cava (IVC) was necessary. A primary repair of the IVC was performed with preservation of the left kidney. The patient\'s back pain has since resolved after the surgery. A literature search found IVC reconstructions to be safe and effective in the removal of vascular leiomyosarcomas.
摘要：
偶然发现左腹膜后肿块，最终被发现是左肾静脉（LRV）起源，因此将一名老年人转介血管手术。他最初表现为反复出现的下背部疼痛。腹部/骨盆CT显示肾下主动脉前方有6.0×5.5cm分叶状腹膜后肿块。切除肿块需要由医学肿瘤学家组成的多学科团队，放射肿瘤学家，泌尿科医师和血管外科医师.为了获得R0利润，LRV与下腔静脉（IVC）汇合的整块切除是必要的。在保留左肾的情况下进行IVC的初次修复。手术后，患者的背痛已经缓解。文献检索发现，IVC重建在清除血管平滑肌肉瘤方面是安全有效的。
