在骨盆和四肢的初级骨髓瘤中,相邻的静脉瘤血栓
Samuel E Broida1, Mikaela H Sullivan1, Peter S Rose1
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
The bone & joint journal
|July 31, 2024
概括
静脉瘤血栓 (VTT) 是骨质肉瘤的一种罕见并发症,在骨盆瘤中更为频繁. VTT表明预后较差,类似于转移性疾病.
科学领域:
- 在瘤学瘤学.
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 静脉瘤血栓 (VTT) 是骨髓瘤的一个不常见的发现.
- 虽然VTT在骨盆骨髓瘤中普遍存在,但在骨盆外原发性骨髓瘤中很少记录.
研究的目的:
- 为了确定骨盆和四肢骨质肉瘤中VTT的患病率和表现特征.
- 分析VTT对骨髓瘤患者疾病特异性生存期的预后影响.
主要方法:
- 在2000年至2022年期间接受治疗的308名骨髓瘤患者 (骨盆或四肢) 的回顾性评估.
- 对手术前成像和手术报告进行分析,以确定VTT.
- 组织病理学确认瘤在血栓内.
主要成果:
- 在10%的患者中发现了VTT,骨盆骨肉瘤的发病率为25%,四肢骨肉瘤的发病率为1.7%.
- VTT的主要成像特征包括对比度增强,静脉扩大和血管封闭.
- 患有VTT的患者的疾病特异性存活率明显降低 (HR 2.3),5年存活率为31%.
结论:
- 在骨髓瘤中,VTT是一种罕见但重要的发现,在骨髓瘤中更为常见.
- 典型的成像研究结果可以表明VTT,有助于诊断.
- 在骨髓瘤患者中,VTT的存在与预后较差有关.
相关概念视频
01:18Veins of the Abdomen and Pelvis
533
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
533
01:15Veins of Lower Limbs
719
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
719