1987
DOI: 10.1055/s-2007-1020220 View full text |Buy / Rent full text
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Abstract: So far, only 13 cases with extension of an intravascular leiomyoma into the heart have been reported. We present the second known case of leiomyomatosis with extension of the tumor through the tricuspid valve into the right ventricle, which was first removed successfully. Ten years after an abdominal hysterectomy for a myomatous uterus, a 53-year old woman presented with a intracavitary mass in the right-sided heart chambers which could be followed retrogradely into the inferior vena cava and right pelvic vein… Show more

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“…Given that the reproductive history was not mentioned in most cases (79.4%), its relation to this disorder cannot be specified. It is postulated that ICLM arises from an invasive uterine myoma or from the vascular wall [8,16,17]. 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.…”
Section: Epidemiology and Characterizationmentioning
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rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…Given that the reproductive history was not mentioned in most cases (79.4%), its relation to this disorder cannot be specified. It is postulated that ICLM arises from an invasive uterine myoma or from the vascular wall [8,16,17]. 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.…”
Section: Epidemiology and Characterizationmentioning
“…Benign metastasizing leiomyoma generally originates from the uterus and metastasizes to other organs, such as the lung, lymph nodes, bone, skeletal muscle, subcutaneous tissue or retroperitoneal space. Although ICLM is rarely coincident with benign metastasizing leiomyoma in the lung [11,16,57], the latter alone usually shows no occupation of vascular channels. Other metastatic cardiac tumours commonly involve the pericardium/ myocardium, and the primary nidus can be detected by wholebody positron emission computed tomography.…”
Section: Differential Diagnosismentioning
“…Other investigators [8,23] have also described similar cases indicating a close relationship between LWVI and IVL. This observation refutes the assumption that IVL is able to grow only within large veins, lacking metastatic potential.…”
Section: Discussionmentioning
“…Despite its cytohistological benignity, it represents the most biologically aggressive counterpart of leiomyomatosis, because of the vascular invasion, and the metastatic potentiality. The vascular invasion may occur as the result of either microscopic permeation of small vessels or massive growth within large veins [3,4,5,8,9,16,18,19,20,21,23,25]. Examples of uterine metastasizing leiomyoma and intravenous leiomyomatosis were first described by Steiner [24] and Marshall and Morris [17].…”
Section: Introductionmentioning
“…Intraoperative and early postoperative massive retroperitoneal hemorrhage after avulsion of tumor leading to patient's death has been reported (17,18) . Resection of the vein wall to achieve complete removal of the tumor appears to be a better form of surgical treatment and this demands a proper surgical setting and expertise capable of venous graft or prosthetic reconstruction (19) .…”
Section: Discussionmentioning