Korean J Obstet Gynecol.
2001 Apr;44(4):808-811.
A Case Report: Recurrent Intravenous Leiomyomatosis
- Affiliations
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- 1Department of Obstetrics & Gynecology, Seoul Adventist Hospital, Seoul, Korea.
- 2Department of General Surgery, Seoul Adventist Hospital, Seoul, Korea.
- 3Department of Anatomical Pathology, Seoul Adventist Hospital, Seoul, Korea.
Abstract
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Intravenous leiomyomatosis is an uncommon uterine tumor characterized by the growth
of histologically benign smooth muscle initially into venous channels within the broad
ligament, intrauterine, and iliac vein, and can extend to inferior vena cava, and right
side of the heart. Intravenous leiomyomatosis is always grossly visible as worm-like plugs
within the involved vessels. A 41-year-old woman presented with lower abdominal mass,
and she had undergone total abdominal hysterectomy and left salpingoophorectomy for
leiomyoma of uterus. On pathological examination it was diagnosed as intravenous
leiomyomatosis. 16 month later, She was admitted with lower abdominal mass on retroperitoneal
cavity. The patient was successfully treated by resection of recurred mass and right
salpingoophorectomy. A case of recurrent intravenous leiomyomatosis is presented with
a brief review of literatures.