title: Intravenous leiomyomatosis with cardiac extension.
abstract: Intravenous leiomyomatosis with cardiac extension is an extremely rare uterine tumor. We report here a case of a patient with a uterine leiomyoma which extended into the right atrium through the left ovarian vein, progressing into the left renal vein along the inferior vena cava. Complete one-stage removal of the tumor was performed using cardiopulmonary bypass, and the patient has shown a favorable outcome. Successful therapy for intravenous leiomyomatosis is dependent on total surgical excision of the tumor, cessation of ovarian function and avoidance of postoperative estrogen replacement therapy.
authors.affiliation: Department of Obstetrics and Gynecology, Yamagata University, School of Medicine, Yamagata, Japan.
authors.forename: Maki
authors.initials: M
authors.lastname: Saitoh
authors.forename: Tadashi
authors.initials: T
authors.lastname: Hayasaka
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakahara
authors.forename: Masahide
authors.initials: M
authors.lastname: Ohmichi
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Shimazaki
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Kurachi
mesh_terms: D002315:Cardiopulmonary Bypass / Q000379:methods; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D018231:Leiomyomatosis / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply; D012082:Renal Veins; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery; D019043:Vascular Neoplasms / Q000473:pathology* / Q000601:surgery; D014680:Veins; D014682:Vena Cava, Inferior