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J Surg Case Rep. 2021 Jun 26;2021(6):rjab249. doi: 10.1093/jscr/rjab249. eCollection 2021 Jun.

Intravascular leiomyomatosis with intracardiac extension: a toraco-abdominal approach.

Journal of surgical case reports

Antonio Miro, Enrico Coppola Bottazzi, Serafino Vanella, Tommaso Palma, Adele Noviello, Ivano Apicella, Giulio Lombardi, Brenno Fiorani, Francesco Crafa

Affiliations

  1. Oncological and General Surgery Unit, "St. Giuseppe Moscati" Hospital of National Relevance and High Specialty, Avellino, Italy.
  2. Department of Radiology, "St. Giuseppe Moscati" Hospital of National Relevance and High Specialty, Avellino, Italy.
  3. Cardiac Surgery Unit, "St. Giuseppe Moscati" Hospital of National Relevance and High Specialty, Avellino, Italy.

PMID: 34194725 PMCID: PMC8238396 DOI: 10.1093/jscr/rjab249

Abstract

Intravenous leiomyomatosis is a rare nonmalignant tumor, which originates from the uterine smooth muscle cells and is usually confined to the pelvic venous system. Sometimes it can extend from the pelvis through the veins into the right side of the heart; this condition is named intracardiac leiomyomatosis (ICLM). To date few cases of these conditions have been described, the treatment is surgical, often challenging and usually multidisciplinary. In this paper are described the clinical presentation, the full radiologic study and surgical treatment of a case of ICLM that authors treated at their institution with thoraco-abdominal approach. Surgical removal of the ICLM is strongly recommended, because no recurrence has been reported, in our case at 7 years we did not observe recurrence of the disease.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021.

References

  1. Ann Vasc Surg. 2006 May;20(3):405-7 - PubMed
  2. J Radiol Case Rep. 2019 Jul 31;13(7):1-13 - PubMed
  3. BMC Cancer. 2016 Feb 08;16:73 - PubMed
  4. J Vasc Surg. 2004 Feb;39(2):465-9 - PubMed
  5. Ann Thorac Surg. 2017 Feb;103(2):e145-e147 - PubMed
  6. Thorac Cardiovasc Surg Rep. 2020 Jan;9(1):e40-e43 - PubMed
  7. Interact Cardiovasc Thorac Surg. 2013 Jul;17(1):132-8 - PubMed
  8. Int J Gynecol Pathol. 1994 Jan;13(1):1-9 - PubMed
  9. Clin Nucl Med. 1984 Mar;9(3):152-5 - PubMed
  10. J Vasc Surg. 2010 Jul;52(1):212-5 - PubMed
  11. Case Rep Obstet Gynecol. 2015;2015:576743 - PubMed
  12. Zhonghua Fu Chan Ke Za Zhi. 2005 Jan;40(1):34-7 - PubMed

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