Pulmonary Artery Extension of Uterine Leiomyoma

Rajaii-Khorasani, Ahmad; Kahrom, Mahdi; Hashemzadeh, Maseood; Tayebi, Sara; Ghazi, Mercedeh; Hamedanchi, Ali

doi:10.1111/j.1540-8191.2012.01469.x

Cited by 15 publications

(13 citation statements)

References 9 publications

(9 reference statements)

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“…It is typically associated with a mesenchymal tumor of the uterus with macroscopic intravascular proliferation (1). Although IVL is histologically benign, it may occasionally exhibit malignant behavior, due to its growth along the pelvic veins and the inferior vena cava (IVC), extending into the cardiac chambers and pulmonary vasculature (2). Due to its rarity and atypical clinical features, the condition may be misdiagnosed as a primary cardiac tumor or a venous thrombus, which may lead to potentially life threatening consequences.…”

Section: Introductionmentioning

confidence: 99%

Intravenous leiomyomatosis with intracardiac extension depicted on computed tomography and magnetic resonance imaging scans: A report of two cases and a review of the literature

Zeng

Zhang

et al. 2016

Oncology Letters

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Abstract. Intravenous leiomyomatosis (IVL) is defined as a benign smooth muscle tumor, growing within systemic veins. IVL with intracaval and intracardiac extension has rarely been reported in radiological and oncological journals. The present study describes 2 cases of IVL extending from the inferior vena cava to the right atrium and ventricle, and discusses the imaging findings and differential diagnosis of this tumor entity. The two patients, who complained of palpitations, shortness of breath or syncope, were surgically treated, with complete resection of the cardiac and intracaval tumors. Pathological examinations were suggestive of IVL. The postoperative course of the two patients was uneventful, and no signs of recurrence were observed on follow-up. Computed tomography and magnetic resonance imaging played a vital role in the diagnostic process and presurgical assessment. The results of the present study indicate that IVL should be considered upon presentation of a soft mass in systemic veins, even when the mass extends to the right cardiac chambers, in female patients, particularly in patients with a history of uterine myoma.

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Section: Introductionmentioning

confidence: 99%

Intravenous leiomyomatosis with intracardiac extension depicted on computed tomography and magnetic resonance imaging scans: A report of two cases and a review of the literature

Zeng

Zhang

et al. 2016

Oncology Letters

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“…There have been 11 cases of PA extension reported in the English literature thus far [6], and reports that describe 'metastasis' of IVL to the lungs and lymph nodes [20]. In the cases of IVL with PA extension reported thus far, 8 out of the 9 cases with clinical information had symptoms leading to further examination and diagnosis.…”

Section: Discussionmentioning

confidence: 96%

“…Extension or embolization into the pulmonary artery (PA) system is very rare, and has been reported in less than 5% of cases [5]. Thus far, there have been 11 cases of PA extension reported in the English language literature [6]. Standard treatment consists of complete surgical removal, with cessation of ovarian function and avoidance of postoperative estrogen replacement therapy, as estrogen and progesterone receptors have been detected in the nuclei of IVL cells [7].…”

Section: Introductionmentioning

confidence: 99%

Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature

Kim

Luk

Cusimano

et al. 2014

Human Pathology: Case Reports

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Intravenous leiomyomatosis (IVL) is a rare tumor, characterized by benign smooth muscle growth inside veins. The tumor arises from the uterine venous wall or uterine leiomyomas and is usually confined to the pelvic cavity. However, on rare instances, it may extend into the cardiac cavity (Pathol Annu 1988;23 Pt 2:153-158), and the pulmonary system (Arch Gynecol Obstet 2001;264:209-210). Treatment consists of surgical removal of the tumor, cessation of ovarian function and avoidance of estrogen replacement therapy (Gynecol Obstet Invest 2004;58:168-170). We present a case of intravenous leiomyomatosis with extension from IVC to RA, RV and PA, with an unusually rapid course of progression in the absence of estrogen (TAH-BSO, without concomitant hormonal therapy).

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“…In 1907, the first case of IVL with intracardiac extension was reported by Durck [4]. The tumors, which were described as nodular or spiral, involved the pelvic veins, IVC, or even extended to the right heart chambers and pulmonary vessels [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Intravenous Leiomyomatosis of Gonadal Vein: A Case Report

et al. 2018

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Intravenous leiomyomatosis (IVL) is defined as a rare benign smooth muscle tumor, which can grow within systemic veins usually iliac veins into inferior vena cava and the right side of the heart; involvement of the gonadal veins is less commonly reported. We present a case with IVL and provide a review of the clinical presentation, pathology and post-operative issues. Operative management aims to completely resect all tumors in the safest manner for the patient.

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Pulmonary Artery Extension of Uterine Leiomyoma

Cited by 15 publications

References 9 publications

Intravenous leiomyomatosis with intracardiac extension depicted on computed tomography and magnetic resonance imaging scans: A report of two cases and a review of the literature

Intravenous leiomyomatosis with intracardiac extension depicted on computed tomography and magnetic resonance imaging scans: A report of two cases and a review of the literature

Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature

Intravenous Leiomyomatosis of Gonadal Vein: A Case Report

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