中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2015年
6期
509-511
,共3页
刘铖%李鼎锋%郭钧%崔秋
劉鋮%李鼎鋒%郭鈞%崔鞦
류성%리정봉%곽균%최추
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
盆腔腫瘤%靜脈血栓形成%神經纖維瘤%腫瘤,鱗狀細胞%脂肪肉瘤,黏液樣%肉瘤,滑膜%誤診
분강종류%정맥혈전형성%신경섬유류%종류,린상세포%지방육류,점액양%육류,활막%오진
Pelvic neoplasms%Venous thrombosis%Neurofibroma%Neoplasms,squamous cell%Liposarcoma,myxoid%Sarcoma,synovial%Diagnostic errors
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.
