Detection of intravenous leiomyomatosis with intracardiac extension by ultrasonography: A case report
- Authors:
- Wei Liu
- Ming Liu
- Jing Xue
View Affiliations
Affiliations: Department of Gynecology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250012, P.R. China, Department of Gynecology, Shandong University, Jinan, Shandong 250012, P.R. China
- Published online on: June 10, 2013 https://doi.org/10.3892/ol.2013.1387
-
Pages:
336-338
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
Intravenous leiomyomatosis (IVL) is characterized by histologically benign tumors that exhibit aggressive clinical behavior. On rare occasions, the tumors may extend into the regional and systemic veins, thus reaching the heart. This may subsequently cause intracardiac leiomyomatosis (ICL), which may lead to congestive heart failure and occasionally, sudden fatalities. Due to its rarity and diffuse symptoms, the misdiagnosis of ICL is common and as a result, the condition may be under-reported. The present study reports a 33-year-old female who was admitted to Shandong Provincial Hospital Affiliated to Shandong University for myomectomy due to a rapidly growing myoma of the uterus. In routine pre-operative abdominal ultrasonography, a moderately sized echoic mass in the right internal iliac vein was observed, which extended to the common iliac vein, the inferior vena cava and the orifice of the right atrium. A presumptive diagnosis of ICL was made. The patient underwent a well-prepared one-stage thoraco-abdominal surgical procedure and the pathological report confirmed ICL. This case illustrates that the early detection of ICL may prevent a potential emergency situation and abdominal ultrasonography may be considered a useful tool in the diagnosis of ICL.
View References
|
1.
|
Lam PM, Lo KW, Yu MY, Wong WS, Lau JY,
Arifi AA and Cheung TH: Intravenous leiomyomatosis: two cases with
different routes of tumor extension. J Vasc Surg. 39:465–469. 2004.
View Article : Google Scholar : PubMed/NCBI
|
|
2.
|
Butler MW and Sanders A: Obstructive shock
in a 47 year old female with a deep venous thrombosis due to
intravascular leiomyomatosis: a case report. Cases J.
22:81592009.PubMed/NCBI
|
|
3.
|
Du J, Zhao X, Guo D, Li H and Sun B:
Intravenous leiomyomatosis of the uterus: a clinicopathologic study
of 18 cases, with emphasis on early diagnosis and appropriate
treatment strategies. Hum Pathol. 42:1240–1246. 2011. View Article : Google Scholar
|
|
4.
|
To WW, Ngan HY and Collins RJ: Intravenous
leiomyomatosis with intracardiac involvement. Int J Gynaecol
Obstet. 42:37–40. 1993. View Article : Google Scholar : PubMed/NCBI
|
|
5.
|
Lou YF, Shi XP and Song ZZ: Intravenous
leiomyomatosis of the uterus with extension to the right heart.
Cardiovasc Ultrasound. 9:252011. View Article : Google Scholar : PubMed/NCBI
|
|
6.
|
Nishida N, Nonoshita A, Kojiro S, Takemoto
Y and Kojiro M: Intravenous leiomyomatosis with uterine leiomyoma
and adenomyosis: a case presentation and brief comment on the
histogenesis. Kurume Med J. 50:173–175. 2003. View Article : Google Scholar : PubMed/NCBI
|
|
7.
|
Kokawa K, Yamoto M, Yata C, Mabuchi Y and
Umesaki N: Postmenopausal intravenous leiomyomatosis with high
levels of estradiol and estrogen receptor. Obstet Gynecol.
100:1124–1126. 2002. View Article : Google Scholar : PubMed/NCBI
|
|
8.
|
Lo KW and Lau TK: Intracardiac
leiomyomatosis. Case report and literature review. Arch Gynecol
Obstet. 264:209–210. 2001. View Article : Google Scholar : PubMed/NCBI
|
|
9.
|
Stolf NA, dos Santos GG and Haddad VL:
Unusual abdominal tumors with intracardiac extension. Two cases
with successful surgical resection. Rev Hosp Clin Fac Med Sao
Paulo. 54:159–164. 1999. View Article : Google Scholar : PubMed/NCBI
|
|
10.
|
Kuenen BC, Slee PH, Seldenrijk CA and
Wagenaar SS: Intravenous leiomyomatosis complicated by Budd-Chiari
syndrome. Postgrad Med J. 72:686–688. 1996. View Article : Google Scholar : PubMed/NCBI
|
|
11.
|
Cohen DT, Oliva E, Hahn PF, Fuller AF Jr
and Lee SI: Uterine smooth-muscle tumors with unusual growth
patterns: imaging with pathologic correlation. AJR Am J Roentgenol.
188:246–255. 2007. View Article : Google Scholar : PubMed/NCBI
|
|
12.
|
Ling FT, David TE, Merchant N, Yu E and
Butany JW: Intracardiac extension of intravenous leiomyomatosis in
a pregnant woman: A case report and review of the literature. Can J
Cardiol. 16:73–79. 2000.PubMed/NCBI
|
|
13.
|
Tresukosol D, Kudelka AP, Malpica A, Varma
DG, Edwards CL and Kavanagh JJ: Leuprolide acetate and
intravascular leiomyomatosis. Obstet Gynecol. 86:688–692. 1995.
View Article : Google Scholar : PubMed/NCBI
|
|
14.
|
Andrade LA, Torresan RZ, Sales JF Jr,
Vicentini R and De Souza GA: Intravenous leiomyomatosis of the
uterus. A report of three cases Pathol Oncol Res. 4:44–47. 1998.
View Article : Google Scholar
|
