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Nakai G, Maeda K, Yamamoto K, et al. Uterine Intravenous Leiomyomatosis with Cardiac Extension: Radiologic Assessment with Surgical and Pathologic Correlation. Case Rep Obstet Gynecol. 2015;2015:576743doi: 10.1155/2015/576743.
Nakai, G., Maeda, K., Yamamoto, K., Yamada, T., Hirose, Y., Terai, Y., Ohmichi, M., Katsumata, T., & Narumi, Y. (2015). Uterine Intravenous Leiomyomatosis with Cardiac Extension: Radiologic Assessment with Surgical and Pathologic Correlation. Case reports in obstetrics and gynecology, 2015576743. https://doi.org/10.1155/2015/576743
Nakai, Go, et al. "Uterine Intravenous Leiomyomatosis with Cardiac Extension: Radiologic Assessment with Surgical and Pathologic Correlation." Case reports in obstetrics and gynecology vol. 2015 (2015): 576743. doi: https://doi.org/10.1155/2015/576743
Nakai G, Maeda K, Yamamoto K, Yamada T, Hirose Y, Terai Y, Ohmichi M, Katsumata T, Narumi Y. Uterine Intravenous Leiomyomatosis with Cardiac Extension: Radiologic Assessment with Surgical and Pathologic Correlation. Case Rep Obstet Gynecol. 2015;2015:576743. doi: 10.1155/2015/576743. Epub 2015 Jul 05. PMID: 26236515; PMCID: PMC4506837.
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Case Rep Obstet Gynecol. 2015;2015:576743. doi: 10.1155/2015/576743. Epub 2015 Jul 05.

Uterine Intravenous Leiomyomatosis with Cardiac Extension: Radiologic Assessment with Surgical and Pathologic Correlation.

Case reports in obstetrics and gynecology

Go Nakai, Kazuya Maeda, Kazuhiro Yamamoto, Takashi Yamada, Yoshinobu Hirose, Yoshito Terai, Masahide Ohmichi, Takahiro Katsumata, Yoshifumi Narumi

Affiliations

  1. Department of Radiology, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka 569-8686, Japan.
  2. Department of Obstetrics and Gynecology, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka 569-8686, Japan.
  3. Department of Pathology, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka 569-8686, Japan.
  4. Department of Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka 569-8686, Japan.

PMID: 26236515 PMCID: PMC4506837 DOI: 10.1155/2015/576743

Abstract

We present the computed tomography (CT) and magnetic resonance (MR) imaging findings of a 71-year-old woman with a cardiac extension of intravenous leiomyoma (IVL) that arose from the uterus, extended to the inferior vena cava (IVC), and reached the right ventricle through the right ovarian vein. Radiologic-pathologic correlation showed that the intravascular cord-like mass originating from the IVC and extending to the right ventricle was composed of degenerated smooth muscle cells with a number of large vessels that were regarded as arteries; moreover, the arteries within the cord-like mass appeared to be looping internally. Given the disappearance of the right ovarian venous wall around the IVL pathologically, extracting the tumor from the ovarian vein during an operation is considered to be impossible retrospectively. Also it was difficult to identify even the intravenous extension of the uterine leiomyoma histopathologically. Therefore, contrast-enhanced CT, in particular arterial phase imaging, provided important information that revealed the mass, range, and path of the lesion, ensuring that an appropriate operative plan could be drawn up and the tumor completely excised.

References

  1. Int J Gynecol Pathol. 2002 Apr;21(2):182-5 - PubMed
  2. Am J Surg Pathol. 2011 Feb;35(2):221-7 - PubMed
  3. Ann Thorac Surg. 2007 Aug;84(2):644-7 - PubMed
  4. Gynecol Oncol. 1999 Dec;75(3):495-8 - PubMed
  5. Mod Pathol. 2002 Mar;15(3):351-6 - PubMed
  6. J Comput Assist Tomogr. 2003 Mar-Apr;27(2):162-5 - PubMed
  7. Am J Med. 1980 Sep;69(3):471-5 - PubMed
  8. J Card Surg. 2005 Jul-Aug;20(4):382-5 - PubMed
  9. Cancer. 1975 Dec;36(6):2164-78 - PubMed
  10. J Vasc Surg. 2009 Oct;50(4):897-902 - PubMed
  11. Br J Radiol. 2005 Jan;78(925):72-4 - PubMed
  12. Gynecol Obstet Invest. 2008;66(2):73-5 - PubMed
  13. AJR Am J Roentgenol. 2007 Aug;189(2):W100-4 - PubMed
  14. Hum Pathol. 2011 Sep;42(9):1240-6 - PubMed
  15. J Vasc Surg. 2000 May;31(5):1046-51 - PubMed
  16. Pathol Int. 2001 Nov;51(11):896-901 - PubMed
  17. Gynecol Oncol Case Rep. 2013 Jul 11;6:16-8 - PubMed

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