Intravenous leiomyomatosis with cardiac extension.

Abstract

Intravenous leiomyomatosis with cardiac extension is an extremely rare uterine tumor. We report here a case of a patient with a uterine leiomyoma which extended into the right atrium through the left ovarian vein, progressing into the left renal vein along the inferior vena cava. Complete one-stage removal of the tumor was performed using cardiopulmonary bypass, and the patient has shown a favorable outcome. Successful therapy for intravenous leiomyomatosis is dependent on total surgical excision of the tumor, cessation of ovarian function and avoidance of postoperative estrogen replacement therapy.

• Authors: Maki Saitoh, Tadashi Hayasaka, Kenji Nakahara, Masahide Ohmichi, Yasuhisa Shimazaki, Hirohisa Kurachi
• Journal: Gynecologic and obstetric investigation (Gynecol Obstet Invest) Vol. 58 Issue 3 Pg. 168-70 ( 2004) ISSN: 0378-7346 [Print] Switzerland
• PMID: 15249745 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright (c) 2004 S. Karger AG, Basel.

Topics

• Cardiopulmonary Bypass (methods)
• Female
• Heart Atria
• Heart Neoplasms (pathology, surgery)
• Humans
• Leiomyomatosis (pathology, surgery)
• Lymphatic Metastasis
• Middle Aged
• Ovary (blood supply)
• Renal Veins
• Treatment Outcome
• Uterine Neoplasms (pathology, surgery)
• Vascular Neoplasms (pathology, surgery)
• Veins
• Vena Cava, Inferior