Korean J Med.
2003 Aug;65(2):256-260.
Intravenous leiomyomatosis with intracardiac extension: intracardiac leiomyomatosis-case report and literature review
- Affiliations
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- 1Cardiology Division, Yonsei Cardiovascular Center and Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea. whshim@yumc.yonsei.ac.kr
Abstract
- Intravenous leiomyomatosis is a rare benign vascular tumor defined as the extension into venous channels of a histologically benign smooth muscle tumor arising either from a uterus or from the walls of uterine vessels, and about 10% spread to the heart. The treatment of choice is complete resection of the tumor. Hormonal therapy should be considered in cases of unresectable residual tumor. A 46-year-old woman was admitted for abdominal discomfort and pain. She was found to have intravenous leiomyomatosis of the uterus with extension into inferior vena cava and right atrium. The patient underwent surgery employing simultaneous sternotomy and laparotomy. Radical excision was achieved using cardiopulmonary bypass. We herein describe a patient in whom complete removal of intravenous leiomyomatosis with cardiac extension was successfully performed.
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