Uterine leiomyoma extension into right atrium: A case report

Xu, Hua-shan; Firoj, Khan Mohammed; Inamdar, Kamran Yunus; Zhao, Wei

doi:10.1016/j.jtcvs.2013.05.003

Cited by 4 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6 Oral tamoxifen for at least 3 months is recommended post-operatively for minimizing the possible micrometastatic focus. 10 Because of the possibility of recurrence and metastases, long-term follow up including thoracic and abdominal CT scan and serial echocardiography is recommended. Reintervention is recommended in cases of recurrence to achieve long-term disease free survival.…”

Section: Discussionmentioning

confidence: 99%

One Stage Radical Removal of Intravenous Leiomyomatosis Extending to the Right Atrium via the Bilateral Gonadal Veins

Gui

et al. 2015

EJVES Short Reports

View full text Add to dashboard Cite

Background: Intravenous leiomyomatosis is a benign and rare smooth muscle cell tumor. Extension to the right heart is exceptional. Among the reported cases, the tumor is usually known to enter through the lumen of the iliac vein and grows into the inferior vena cava; involvement of bilateral gonadal veins is rarely reported. Complete tumor resection is the key to therapy. Case presentation: A 25 year old female Chinese patient suffering from abdominal distention for 1 month, who was diagnosed with intravenous leiomyomatosis extending to the heart, from pre-operative imaging studies, is presented. A one stage procedure with complete excision of the tumor was performed. Histopathological findings confirmed the diagnosis of intravenous leiomyomatosis. The patient's post-operative recovery was uneventful, without recurrence and re-stenosis at 1 year follow up. Conclusion: Intravenous leiomyomatosis may grow within veins along various routes. This case demonstrated intravenous leiomyomatosis with tumor extension through bilateral gonadal veins extending to the heart. It is believed that one stage radical resection can be a practical and effective alternative for the patients in good clinical condition. Long-term follow up is recommended because of the possibility of recurrence and metastases.

show abstract

Section: Discussionmentioning

confidence: 99%

One Stage Radical Removal of Intravenous Leiomyomatosis Extending to the Right Atrium via the Bilateral Gonadal Veins

Gui

et al. 2015

EJVES Short Reports

View full text Add to dashboard Cite

show abstract

“…However, the parasternal RV inflow tract view has been neglected previously, and some misdiagnosed cases that neglected this view are reported in the literature and in clinical practice. Right atrial myxoma was the most common misdiagnosis, [60][61][62][63] followed by a bland thrombus, 64 and, in some cases, failure to find the atrial extension of tumor thrombi.…”

Section: Transthoracic Echocardiography For Evaluation Of Intracardio...mentioning

confidence: 99%

Sonography and Transthoracic Echocardiography for Diagnosis of Systemic Cardiovascular Metastatic Tumor Thrombi

Wang

Cheng

Lee

et al. 2016

J of Ultrasound Medicine

View full text Add to dashboard Cite

Sonography and transthoracic echocardiography (TTE) are seldom used for assessment of metastatic tumor thrombi in the cardiovascular system in routine clinical practice. We performed this retrospective study to evaluate the combination of sonography with TTE for diagnosis of metastatic tumor thrombi in heart and systemic vessels. Vascular, abdominal, pelvic, and small-part sonography was applied in 18 patients, and TTE was conducted simultaneously in 14 patients. Tumor thrombi invaded into the inferior vena cava system in 12 patients, superior vena cava system in 5 patients, and aorta in 1 patient; they extended to the right cardiac chambers in 11 patients. Six patients had diagnoses by pathologic examination. The primary neoplasms were identified by conventional imaging in 17 patients. The morphologic and echogenic characteristics of the tumor thrombi were diverse and depended on their original tumors. The thrombi were either contiguous or discrete from the original tumors. The neoplastic vascularity of the thrombi and the invasive extension were the primary characteristics that distinguished them from bland thrombi. Simultaneous application of sonography and TTE is a feasible way to comprehensively evaluate cardiovascular metastatic tumor thrombi in most patients.

show abstract

Urological complications of uterine leiomyoma: a review of literature

et al. 2016

View full text Add to dashboard Cite

Leiomyoma is a common tumor of the uterus that often clinically impacts on the lower urinary tract and results in urological and sexual symptoms. Leiomyoma can compress and grow into and become adherent to the bladder and surrounding pelvic organs or metastasize into peritoneal organs. Leiomyoma can enlarge and compress the urinary bladder, urethra, and lower end of the ureters. Leiomyoma can cause embarrassing sexual dysfunction in females. Current literature of non-surgical and surgical therapy of leiomyoma is described.

show abstract

Uterine leiomyoma extension into right atrium: A case report

Cited by 4 publications

References 7 publications

One Stage Radical Removal of Intravenous Leiomyomatosis Extending to the Right Atrium via the Bilateral Gonadal Veins

One Stage Radical Removal of Intravenous Leiomyomatosis Extending to the Right Atrium via the Bilateral Gonadal Veins

Sonography and Transthoracic Echocardiography for Diagnosis of Systemic Cardiovascular Metastatic Tumor Thrombi

Urological complications of uterine leiomyoma: a review of literature

Contact Info

Product

Resources

About