Pelvic leiomyomatosis with intracaval and intracardiac extension: a case report and review of the literature.
BACKGROUND
Intravenous leiomyomatosis with intracaval and intracardiac extension has been rarely described in surgical, gynecological, and radiological literatures. Complete excision of the tumor is essential for a favorable outcome. Because of the uniqueness of this tumor having an absent or localized attachment site, its removal is feasible when assisted, prior to surgery, with appropriate imaging and planning.


METHODS
The case was a 46-year-old woman, with intravenous leiomyomatosis originating from the uterus and extending to the inferior vena cava and right atrium, with extensive intracaval attachment, diagnosed from the various preoperative studies and operated successfully through the single-stage approach using cardiopulmonary bypass.


CONCLUSIONS
We present an unusual case of intravenous leiomyomatosis originating from the uterus and extending to the inferior vena cava and right atrium with extensive intracaval attachment. We include a brief review of the literatures.
Nam
Mi Suk
MS
Department of Obstetrics and Gynecology, BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seoul, South Korea.
Jeon
Myung Jae
MJ
Kim
Young Tae
YT
Kim
Jae Wook
JW
Park
Ki Hyun
KH
Hong
Yoo Sun
YS
D002315:Cardiopulmonary Bypass; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D018231:Leiomyomatosis / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000473:pathology