The diagnosis, morphological particularities, and surgical technique in a case of intravascular leiomyoma extended to the right heart chambers.
Intravenous leiomyoma is a benign smooth muscle cell tumor of uterine origin that may grow into the pelvic veins and the inferior vena cava. It usually affects premenopausal women and the majority (90%) are parous. Because cardiac involvement is present in up to 10% of cases, it may be misdiagnosed as a primary cardiac tumor or a venous thrombus-in-transit. We describe a case of intravascular leiomyomatosis with cardiac extension and the morphological particularities of the removed tumor.
Galajda
Zoltan
Z
Department of Cardiac and Vascular Surgery, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary. galajda62@gmail.com
Copotoiu
Constantin
C
Suciu
Horatiu
H
Tint
Diana
D
Glasz
Tibor
T
Deac
Radu
R
D000328:Adult; D006348:Cardiac Surgical Procedures; D003951:Diagnostic Errors; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000175:diagnosis; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D009232:Myxoma / Q000175:diagnosis; D009361:Neoplasm Invasiveness; D010052:Ovariectomy; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D019043:Vascular Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D014682:Vena Cava, Inferior / Q000473:pathology* / Q000601:surgery