Intravenous Leiomyomatosis with Uterine Leiomyoma and Adenomyosis: A Case Presentation and Brief Comment on the Histogenesis

Nishida, Naoyo; Nonoshita, Akiko; Kojiro, Sakiko; Takemoto, Yumi; Kojiro, Masamichi

doi:10.2739/kurumemedj.50.173

Cited by 7 publications

(6 citation statements)

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“…Care should be taken to avoid extracting only the wormlike masses growing within the veins. We believe that the 5 cases with coexisting adenomyosis and uterine leiomyoma in our series represent the largest reported series; aside from our cases, only 1 case was reported in the English literature [4].…”

Section: Discussionmentioning

confidence: 80%

Intravenous leiomyomatosis of the uterus

Zhao

Guo

et al. 2011

Human Pathology

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Section: Discussionmentioning

confidence: 80%

Intravenous leiomyomatosis of the uterus

Zhao

Guo

et al. 2011

Human Pathology

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“…In total, ∼90% of reported cases have occurred in parous females and 10% of patients have presented with a history of previous pelvic surgery and hysterectomy (4). It has been suggested that an incomplete hysterectomy may promote the proliferation of IVL (5), or alternatively, that IVL may originate in the smooth muscle cells of the vessel wall (6). The present study patient had a normal pregnancy and delivered via cesarean section four years earlier.…”

Section: Discussionmentioning

confidence: 99%

Detection of intravenous leiomyomatosis with intracardiac extension by ultrasonography: A case report

Liu

Xue

2013

Oncology Letters

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Intravenous leiomyomatosis (IVL) is characterized by histologically benign tumors that exhibit aggressive clinical behavior. On rare occasions, the tumors may extend into the regional and systemic veins, thus reaching the heart. This may subsequently cause intracardiac leiomyomatosis (ICL), which may lead to congestive heart failure and occasionally, sudden fatalities. Due to its rarity and diffuse symptoms, the misdiagnosis of ICL is common and as a result, the condition may be under-reported. The present study reports a 33-year-old female who was admitted to Shandong Provincial Hospital Affiliated to Shandong University for myomectomy due to a rapidly growing myoma of the uterus. In routine pre-operative abdominal ultrasonography, a moderately sized echoic mass in the right internal iliac vein was observed, which extended to the common iliac vein, the inferior vena cava and the orifice of the right atrium. A presumptive diagnosis of ICL was made. The patient underwent a well-prepared one-stage thoraco-abdominal surgical procedure and the pathological report confirmed ICL. This case illustrates that the early detection of ICL may prevent a potential emergency situation and abdominal ultrasonography may be considered a useful tool in the diagnosis of ICL.

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“…La symptomatologie clinique dépend essentiellement de la localisation de la tumeur. Localisée à l'utérus, elle épouse la sémiologie d'un utérus fibromateux : utérus augmenté de volume [2,[5][6][7][8][9][10], ménomé-trorragies [2,4,6,10], pesanteurs à douleurs pelviennes [4,6,8,9], parfois pollakiurie [4]. En cas d'évolution intraveineuse, la symptomatologie dépend de la topographie de l'extension extra-utérine : au niveau veineux pelvien, on retrouvera des oedèmes des membres inférieurs [8,11,12].…”

Section: Discussionunclassified

“…Le diagnostic cellulaire est immunohistochimique (anticorps antidesmine, anti-actine) [4][5][6][7]10,13].…”

Section: Discussionunclassified