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Uterine intravenous leiomyomatosis with cardiac extension: Imaging characteristics and literature review
- Source :
- World Journal of Clinical Oncology. 4:25
- Publication Year :
- 2013
- Publisher :
- Baishideng Publishing Group Inc., 2013.
-
Abstract
- Intravenous leiomyomatosis (IVL), showing unusual growth patterns of uterine leiomyoma, is a rare neoplasm characterized by intravascular proliferation of a histologically benign-looking smooth muscle cell tumor mass, but not invading the tissue. To date, less than 300 cases have been reported and fewer than 100 cases with cardiac involvement. Imaging characteristics of IVL are still not clear so it is usually misdiagnosed before surgery. A 36-year-old woman, who had undergone hysterectomy due to hysteromyoma, presented with shortness of breath after activities. Imaging showed IVL with mass involvement of the left ovarian vein, left renal vein, left external and common iliac vein, as well as within the inferior vena cava (IVC), extending into the right atrium. The operation demonstrated that the mass had no stalk and had well-demarcated borders with the wall of the right atrium and IVC. The patient underwent a one-stage combined multidisciplinary thoraco-abdominal operation under general anesthetic. Subsequently, the pathology report confirmed IVL. IVL should be considered in a female patient presenting with an extensive mass in the right side of the heart. Imaging technology, such as echocardiogram, contrast-enhanced computed tomography and magnetic resonance imaging, can provide important information to reveal the mass, the range and path of the lesion, and relates to the surgical plan decision. Consequently, perfect and exact image examination is very necessary pre-operation.
- Subjects :
- medicine.medical_specialty
Uterine leiomyoma
Hysterectomy
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Case Report
Magnetic resonance imaging
Pathology Report
medicine.disease
Intravenous leiomyomatosis
Inferior vena cava
Surgery
Lesion
Oncology
medicine.vein
cardiovascular system
medicine
medicine.symptom
business
Common iliac vein
Subjects
Details
- ISSN :
- 22184333
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- World Journal of Clinical Oncology
- Accession number :
- edsair.doi.dedup.....788ce5f4532aa5c15faf1f1b32ef3f6a