イチノエ　アキマサ   AKIMASA ICHINOE   一戸　晶元    所属   医学部 医学科（附属足立医療センター）    職種   講師
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Uterine myxoid leiomyosarcoma with tumor embolism extending into the right atrium.
掲載誌名	正式名：Case reports in obstetrics and gynecology. ISSNコード：20906684/20906692
掲載区分	国外
巻・号・頁	pp.1-5
総ページ数	5
著者・共著者	Hiromi Imai†, Hiroshi Yagi, Kaoru Okugawa, Hironori Kenjo, Tatsuhiro Ohgami, Yoshiaki Kawano, Eisuke Kaneki, Akimasa Ichinoe, Kazuo Asanoma, Hideaki Yahata, Kenzo Sonoda, Hiroaki Kobayashi, Tsunehisa Kaku, Kiyoko Kato
発行年月	2015/02/02
概要	Uterine myxoid leiomyosarcoma (MLMS) is an extremely rare variant of uterine leiomyosarcoma; only 56 cases were reported from 1982 to 2013. Uterine MLMS is characterized by a myxoid appearance and highly malignant behavior. We herein report a case involving a 65-year-old woman with uterine MLMS with a large tumor embolism that reached the right atrium. A total abdominal hysterectomy, bilateral salpingooophorectomy, and tumor embolism resection with the use of a heart-lung machine were performed. Epirubicin-ifosfamide chemotherapy in the adjuvant setting led to reductions in both the tumor emboli and peritoneal dissemination. The patient retained a good quality of life for 10 months after the initial surgery. She then developed progressive disease despite treatment with pazopanib. She died of her disease 14 months after the initial surgery. Although complete surgical resection of the tumor is desirable, tumor reduction surgery followed by adjuvant chemotherapy might help to retain a good quality of life. This is the first reported case of a primary uterine MLMS with tumor emboli.
DOI	10.1155/2015/316262.