Intracardiac Extension of a Calcified Ovarian Hemangioma— A Case Report

Tamburino, Corrado; Russo, Giovanni; Incognito, Carmela; Battaglia, Giuseppe; Monaca, Vincenzo; Lomeo, Alberto; Abbate, Mauro

doi:10.1177/000331979204300310

Cited by 9 publications

(11 citation statements)

References 4 publications

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“…Approximately 83.5% of the patients had undergone a previous hysterectomy/myomectomy or had a coexisting uterine leiomyoma, suggesting uterine leiomyoma with vascular invasion as the origin of this lesion. A few patients were found with a normal uterus [3,[18][19][20], which may support the theory of ICLM originating from the venous smooth muscle wall itself. The interval between hysterectomy/myomectomy and the detection of ICLM varied from merely 3 months [21] to as long as more than 40 years [22,23].…”

Section: Epidemiology and Characterizationsupporting

confidence: 63%

Intracardiac leiomyomatosis: a comprehensive analysis of 194 cases

Chen

Chu

et al. 2013

Interactive CardioVascular and Thoracic Surgery

113

167

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Intracardiac leiomyomatosis is rare but has been increasingly reported in recent years. Owing to its rarity, intracardiac leiomyomatosis has been reported only as isolated case reports and case series. This disorder is thought to be underestimated and easily overlooked in the clinic, while it is dangerous owing to the risk of sudden death caused by total outflow tract obstruction. We performed an electronic literature search for intracardiac leiomyomatosis and identified 194 cases that were reported in English from 1974 (the first reported case) to September 2012. Our aim is to provide a detailed and comprehensive review of the clinical presentation, diagnosis, histopathological characterization, treatment and prognosis of this disorder. According to our analysis, intracardiac leiomyomatosis is most common in the fifth decade, and the mean age of detection is ~50 years. Most patients had undergone previous hysterectomy/myomectomy or had a coexisting uterine leiomyoma when admitted. The most common clinical presentations were dyspnoea, syncope, oedema of the lower extremities and palpitation. Transoesophageal echocardiography, computed tomography and magnetic resonance imaging are helpful in the preoperative diagnosis and to guide the surgical management. Complete removal guarantees an excellent outcome, with no recurrence or postoperative death, while incomplete removal leads to recurrence in one-third of patients. Anti-oestrogen therapy is not imperative after incomplete removal owing to its inability to prevent recurrence.

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Section: Epidemiology and Characterizationsupporting

confidence: 63%

Intracardiac leiomyomatosis: a comprehensive analysis of 194 cases

Chen

Chu

et al. 2013

Interactive CardioVascular and Thoracic Surgery

113

167

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“…There have been previously reported studies involving a uterine leiomyoma or leiomyosarcoma extending into or simulating an atrial myxoma [10,11,12, 15]. Nevertheless, we were only able to identify one reported case documenting the treatment for both primary uterine cancer and an atrial myxoma [9].…”

Section: Resultsmentioning

confidence: 98%

“…There have been studies involving a uterine leiomyoma or leiomyosarcoma either mimicking an atrial myxoma [10] or infiltrating the atrium [11, 12], but there have been virtually no clinical cases in which an endometrial adenocarcinoma and an atrial myxoma were managed concurrently [9]. We report herein the history and complicated treatment of a patient affected by these two conditions.…”

Section: Introductionmentioning

confidence: 99%

Endometrial Adenocarcinoma with Concomitant Left Atrial Myxoma

Abaid

Epstein²,

Chang

et al. 2009

Case Rep Oncol

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Background: Atrial myxomas are the most common primary heart tumors and predominantly considered to be benign lesions. Case Study: We report a case involving a 77-year-old woman who presented with a pelvic mass. She was found to have a primary endometrial cancer and primary lung cancer with concomitant metastatic adrenal gland and mesenteric lesions. Her prior medical history also included an untreated 4.0 × 2.0-cm left atrial myxoma which was identified on CT scan during the workup of her pelvic mass. Results: A clinical decision was made to proceed with surgery for the pelvic mass with a subsequent recommendation for left atrial mass resection. Currently, the patient is scheduled to begin chemotherapy for primary lung cancer. Conclusion: The reported incidence of uterine cancer and a concurrent atrial myxoma is very rare. Consequently, the manner and timing in which treatment should be provided is imprecise. In the present case, the risk for cardiac complications was high, but given the presence of a partial bowel obstruction and the need to diagnose the primary site of her metastatic malignancy, the decision was made to proceed with exploratory abdominal surgery.

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“…Scattered case reports of ovarian haemangioma (Tamburino et al, 1992), testicular tumour (Kanda et al, 1991), embrional carcinoma of the testis (Paule et al, 1991), testicular teratoma (Moon et al, 1992) and even pancreatic cancer (Ozben et al, 2007) have been reported so far.…”

Section: Othersmentioning

confidence: 99%