Intravascular leiomyoma with heart extension

Morales, Márcia Maria; Anacleto, Alexandre; Leal, João Carlos Ferreira; Carvalho, Sérgio Henrique Gonçalves De; Del-Arco, J L Díaz-de-Tuesta

doi:10.6061/clinics/2012(01)14

Cited by 11 publications

(11 citation statements)

References 25 publications

(41 reference statements)

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“…Intravenous leiomyomatosis is a rare benign smooth muscle tumor of uterine origin that grows into veins pelvic veins. It often can cause lower extremity swelling but has been reported to cause death if they extend into the heart (108)(109)(110).…”

Section: Other Tumorsmentioning

confidence: 99%

Tumor thrombus: incidence, imaging, prognosis and treatment

Quencer

Friedman

Sheth

et al. 2017

Cardiovasc. Diagn. Ther.

154

146

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Intravascular tumor extension, also known as tumor thrombus, can occur in many different types of cancer. Those with the highest proclivity include Wilm's tumor, renal cell carcinoma (RCC), adrenal cortical carcinoma (ACC) and hepatocellular carcinoma (HCC). The presence of tumor thrombus markedly worsens prognosis and impacts treatment approach. Imaging plays a key role in its diagnosis. Endovascular methods also play a large role in treatment.

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Section: Other Tumorsmentioning

confidence: 99%

Tumor thrombus: incidence, imaging, prognosis and treatment

Quencer

Friedman

Sheth

et al. 2017

Cardiovasc. Diagn. Ther.

154

146

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“…An anti-estrogen therapy has been suggested as a reasonable approach to control unresectable tumors. [4,5] However, our case refused anti-estrogen therapy.…”

Section: Discussionmentioning

confidence: 61%

Intravenous leiomyomatosis extending into right heart: A case report

Liao

Huang

Zhang

2020

Turk Gogus Kalp Dama

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“…IVL is a rare, histologically benign tumor that typically occurs in premenopausal, multiparous women around the age of 45 [15] . In most cases, patients have a history of hysterectomy due to uterine leiomyoma [4 , 5 , 16 , 17] . The tumor is thought to arise either as a proliferation of the vascular walls within the myometrium or pelvic veins, or be the result of an extensive invasion by a leiomyoma within the myometrium [5] .…”

Section: Discussionmentioning

confidence: 99%

Point of care ultrasound facilitated diagnosis of right ventricular mass as the etiology of syncope; A case report of intravenous leiomyomatosis

Schultz

Quinn

Miller

et al. 2021

Radiology Case Reports

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Syncope is a common emergency department (ED) chief complaint. Rarely, syncope can be the result of right ventricular outflow obstruction from an intracardiac tumor, such as an intracardiac extension of intravenous leiomyomatosis (IVL). Typically, this type of tumor is confined to the pelvic veins, but in very rare cases, it can extend through the inferior vena cava into the right atrium. Point-of-care ultrasound (POCUS) can be a crucial tool in the ED for identifying intracardiac tumors presenting as syncope and expediting clinical management. We present the case of a 39-year-old female with no prior medical history that presented to the ED having experienced dyspnea on exertion and two syncopal episodes prior to ED admission. POCUS use in the ED elucidated the presence of a right atrial mass and further imaging showed a mass on the patient's uterus. After surgical removal of a portion of the atrial mass, a subsequent biopsy revealed it had leiomyoma-like features; as such, the patient was diagnosed with IVL. This case illustrates the importance of using POCUS in the ED to help determine the etiology of syncope. Although intracardiac extensions of IVL are rare, it is important for emergency physicians to keep this diagnosis in the differential in patients with symptoms or risk factors suggestive of IVL with intracardiac extension.

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Intravascular leiomyoma with heart extension

Cited by 11 publications

References 25 publications

Tumor thrombus: incidence, imaging, prognosis and treatment

Tumor thrombus: incidence, imaging, prognosis and treatment

Intravenous leiomyomatosis extending into right heart: A case report

Point of care ultrasound facilitated diagnosis of right ventricular mass as the etiology of syncope; A case report of intravenous leiomyomatosis

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