Echocardiographic Characteristics of Intravenous Leiomyomatosis with Intracardiac Extension: A Single-Institution Experience

Guo, Xiaoxiao; Zhang, Chaoji; Fang, Ligang; Guo, B.; Zhu, Wei; Fang, Quan; Chen, Guangjun; Miao, Qi; Sun, Jie

doi:10.1111/j.1540-8175.2011.01472.x

Cited by 15 publications

(12 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To date, less than 300 cases have been reported in the English literature. In 2011 Guo et al published the largest cohort of patients at a single centre, including a total of 10 patients treated over a 10-year period [8]. …”

Section: Introductionmentioning

confidence: 99%

Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature

Demirkıran

Sal

Kaya

et al. 2013

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

Introduction. Intravenous leiomyomatosis with cardiac extension is an extremely rare uterine tumor. We report here a case of intravenous leiomyoma extending to the right atrium, diagnosed in a patient having leiomyoma. Case Presentation. A 39-year-old woman with no symptoms and a past medical history of two myomectomy operations (7 and 3 years previously) was admitted to our clinic for routine control. We detected a uterine fibroid of 8 centimeters and 4 small solid masses of 1-2 centimeters near the uterus and ovaries at vaginal ultrasonography. Computed tomography (CT) was performed to investigate the abdominal cavity. It revealed a mass originating from the left common iliac vein, which invaded the inferior vena cava (IVC) and extended to the right atrium in addition to the uterine fibroids and pelvic masses. The operation was performed with a combined team of gynecologists and cardiac surgeons and a one-stage operation was accomplished. The postoperative course was uneventful. Conclusion. Abdominal CT is a useful imaging technique for the diagnosis of unusual pathology in a patient with uterine fibroid having suspicious pelvic masses. Also, when a right atrial mass is identified in a female with a prior history of hysterectomy because of leiomyoma or in whom there is a uterine myoma, then intravenous leiomyomatosis should be considered.

show abstract

Section: Introductionmentioning

confidence: 99%

Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature

Demirkıran

Sal

Kaya

et al. 2013

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

“…Most patients eventually develop symptoms, such as abdominal or pelvic pain or discomfort. [4–6] If the systemic veins and right atrium are involved, symptoms of impaired venous circulation will develop, including swelling of the lower extremities, chest tightness, chest pain, congestive heart failure, and even sudden death. Rarely, patients present with thromboembolic events involving the lower extremities, pulmonary circulation, or hepatic veins.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound appearance of intravenous leiomyomatosis

Wang

et al. 2019

Medicine

View full text Add to dashboard Cite

Rationale:Intravenous leiomyomatosis (IVL) is a rare benign smooth muscle tumor that can develop from the pelvic or uterine veins and spread into the central veins and heart. Here, we report a case of recurrent IVL in a 48-year-old woman. To the best of our knowledge, this is the first case report of IVL that describes the characteristic ultrasound features of the tumor, including the rainbow sign.Patient concerns:A 48-year-old woman developed a solid-cystic lesion in the inferior vena cava (IVC) 3 years after undergoing a right heart tumor resection and 5 years after undergoing hysterectomy.Diagnoses:Physical examination was unremarkable. However, ultrasonography showed a solid-cystic lesion in the IVC, and a diagnosis of IVL was made.Interventions:The patient underwent complete surgical removal of the tumor by a multidisciplinary team. The tumor was resected successfully.Outcomes:Pathological examination confirmed that the IVC tumor thrombus was consistent with IVL. During follow-up, there were no signs of local or distant recurrence.Lessons:The preoperative diagnosis of IVL is difficult, and the tumor is usually misdiagnosed as a thrombus or right atrial myxoma. A thorough understanding of the characteristic imaging features of IVL is essential for an accurate preoperative diagnosis. The lesion in our patient showed multiple tracts, a honeycomb appearance, and vividly colorful blood flow that resembled a rainbow, which we termed the rainbow sign.

show abstract

“…Surgery is still the gold standard for treatment of IVL. Due to the extensive nature of the tumor and its involvement in multiple systems[7], multidisciplinary cooperation is required for its treatment. However, there are still no guidelines regarding the surgical approach for IVL.…”

Section: Discussionmentioning

confidence: 99%

Intravenous leiomyomatosis with different surgical approaches: Three case reports

Chen

Wang

et al. 2019

WJCC

View full text Add to dashboard Cite

BACKGROUNDIntravenous leiomyomatosis (IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.CASE SUMMARYHere we report three cases of IVL treated with different surgical approaches. All patients presented with circulation symptoms. Two patients had lower extremity edema and the other had cardiopalmus. The diagnosis of IVL was confirmed based on the imagining examinations and pathological findings. All patients underwent surgical treatment and were discharged without any complications.CONCLUSIONPreoperative examination is crucial for surgical planning and surgical approach is dependent on the patient’s condition and tumor involvement.

show abstract

Echocardiographic Characteristics of Intravenous Leiomyomatosis with Intracardiac Extension: A Single-Institution Experience

Abstract: Echocardiography is a simple and important technique to diagnose IVL with intracardiac extension. This disease should be considered in a female patient presenting with an extensive mass from IVC with well-demarcated border in the right-sided cardiac chambers.

Cited by 15 publications

References 22 publications

Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature

Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature

Ultrasound appearance of intravenous leiomyomatosis

Intravenous leiomyomatosis with different surgical approaches: Three case reports

Contact Info

Product

Resources

About