Intravenous leiomyomatosis

Rita Mittal; Bishan Dhiman; Himani Sharma; Aleeza Pal

doi:10.18203/2320-1770.ijrcog20163022

Authors

Rita Mittal Department of Obstetrics and Gynaecology, KNSHM and C, IGMC, Shimla India
Bishan Dhiman Department of Obstetrics and Gynaecology, KNSHM and C, IGMC, Shimla India
Himani Sharma Department of Obstetrics and Gynaecology, KNSHM and C, IGMC, Shimla India
Aleeza Pal Department of Obstetrics and Gynaecology, KNSHM and C, IGMC, Shimla India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20163022

Keywords:

IVL, Intra-cardiac extension, IVC

Abstract

Intravenous leiomyomatosis is a rare benign smooth muscle tumour arising from a venous wall or a uterine leiomyoma. This case highlights that intra-cardiac leiomyomatosis should be considered as a differential diagnosis in addition to extended cancer or thrombus, in female patients, diagnosed with a right sided cardiac mass extending from the IVC. To prevent pulmonary embolism or sudden death in patients with intra-cardiac extension, complete surgical resection is necessary. One stage surgical removal has been recommended for complete resection.

Metrics

Metrics Loading ...

References

Spanuchart I, Satitthummanid S, Cheanvechai C, Chantranuwatana P, Trivijitsilp P, Chattranukulchai P, et al. Intra-cardiac and Intravenous Leiomyomatosis. J Am Coll Cardiol. 2012;60(15):e27-e27.

Okada M, Kato G, Shimizu S. Successful one-stage surgical removal of intravenous leiomyomatosis with cardiac extension in an elderly patient. Gen Thoracic Cardiovasc Surg. 2012;60:153-6.

Nakai G, Maeda K, Yamamoto K, Yamada T, Hirose Y, Terai Y, et al. Uterine intravenous leiomyomatosis with cardiac extension: radiologic assessment with surgical and pathologic correlation. Case Reports in Obstetrics and Gynecology. 2015;(2015):Article ID 576743.

Worley MJ, Aelion A, Caputo TA, Kent KC, Salemi A, Krieger KH, et al. Intravenous leiomyomatosis with intra-cardiac extension: a single-institution experience. Am J Obstet Gynecol. 2009;201(6):574.e1-574.e5.

Osawa H, Hosaka S, Akashi O, Furukawa H, Egi K. A case of intravenous leiomyomatosis of uterine origin, extending through the inferior vena cava to right atrium. Gen Thoracic Cardiovasc Surg. 2013;61(2):104-7.

Murphy MA, Kothari A, Westaby S, Kehoe, Handa A. Uterine leiomyoma with intravenous leiomyomatosis. EJVES Extra. 2005;9:4-6.

Ghesani M, Jafferjee N, Chintapatla R, Chiowanich P, Buonocore D, Benvenisty A. A 52-year-old female with intravenous leiomyomatosis with intra-cardiac extension. Hem Onc Today; 2012.

Mariyappa N, Manikyam UK, Krishnamurthy D, Preeti K, Agarwal Y, Prakar U. Intravenous Leiomyomatosis. Niger J Surg. 2012;18(2):105-6.