Intracardiac extension of intravenous leiomyomatosis.

Kaszar-Seibert, D J; Gauvin, Gregory; Rogoff, P; Vittimberga, F J; Margolis, Steven; Hilgenberg, Alan D.; Saal, D K; Goldsmith, Gary

doi:10.1148/radiology.168.2.3393658

Cited by 35 publications

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“…aaas If the uterine tumor is still present, a total abdominal hysterectomy is and bilateral salpingo-oophorectomy are performed. 33 Three points must be kept in mind when resecting these tumors. First, simply pulling the tumor from the right atrium is not feasible.…”

Section: Discussionmentioning

confidence: 99%

Intravenous leiomyomatosis

Grella

Arnold

Kvilekval

et al. 1994

Journal of Vascular Surgery

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Intravenous leiomyomatosis is a rare tumor in which benign smooth muscle cells grow into the pelvic venous channels of female patients. A case of intravenous leiomyomatosis with cardiac extension in a 45-year-old woman is described. The patient was diagnosed with cardiac syncope 3 months after total abdominal hysterectomy and was successfully treated with a two-stage approach consisting of sternotomy followed by laparotomy. The cause, disease, presentation, diagnosis, treatment and recurrence are reviewed.

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Section: Discussionmentioning

confidence: 99%

Intravenous leiomyomatosis

Grella

Arnold

Kvilekval

et al. 1994

Journal of Vascular Surgery

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“…However, enhanced CT showed intraatrial and intracaval mass filling defects [7][8][9][10][11], and pre-contrast and post-contrast MR imaging showed a mass with mild or strong enhancement in the right heart and inferior vena cava [6][7][8][12][13][14]. Thus, it was not difficult for us to differentiate intravenous leiomyomatosis from our case, which was a cystic structure mimicking inferior vena cava dissection.…”

Section: Discussionmentioning

confidence: 65%

Retroperitoneal arteriovenous malformation extending through the inferior vena cava into the heart and causing inferior vena cava dissection

et al. 2004

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We present a case of retroperitoneal arteriovenous malformation extending through the inferior vena cava into the heart, which was associated with dissection of the inferior vena cava in a 32-year-old female. Computed tomography and magnetic resonance imaging showed a double-lumen inferior vena cava and a rod-like solid component attached to a sac-like lesion in the right heart chambers. Digital subtraction angiography showed an arteriovenous malformation draining to the inner lumen of the inferior vena cava.

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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: 97%

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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Intracardiac extension of intravenous leiomyomatosis.

Cited by 35 publications

References 0 publications

Intravenous leiomyomatosis

Intravenous leiomyomatosis

Retroperitoneal arteriovenous malformation extending through the inferior vena cava into the heart and causing inferior vena cava dissection

Endometrial Adenocarcinoma with Concomitant Left Atrial Myxoma

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