Intravascular leiomyoma‑A rare case in the context of Covid‑19 outbreak: A case report
Affiliations: Department of Obstetrics and Gynecology, Cuza‑Voda Hospital of Obstetrics and Gynecology, 700398 Iași, Romania, Department of Morpho‑Functional Sciences I ‑ Histology, Pathology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania, Department of Mother and Child, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania
- Published online on: November 29, 2022 https://doi.org/10.3892/etm.2022.11737
- Article Number: 38
Copyright: © Schaas et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
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The present study reported a case of a uterine leiomyoma with an unusual growth pattern featuring areas of intravascular leiomyomatosis, rarely described in the international literature available in English. It presented the case of a 44‑year‑old woman who, fearing the Covid‑19 outbreak, postponed the recommended surgical intervention to remove a uterine leiomyoma. The two‑year delay worsened the symptoms, doubled the size of the tumor, and facilitated the development of intravascular leiomyomatosis. It was possible to establish the correct diagnosis only after the histopathological examination of the excised uterine myoma, as it was not suspected prior to surgery. No other vascular tumors were identified via magnetic resonance imaging and computed tomography imaging investigations. The careful follow‑up of recovering patients is essential because of the high recurrence rate of such tumors and their potential to behave aggressively, possibly even fatally. Clinicians should be aware of this rare condition and its cardiovascular implications to improve the initial and long‑term management of such cases.