title: Intravenous leiomyomatosis of the uterus with extension to the right heart.
abstract: A 42-year-old woman admitted with debilitation and engorgement both lower extremities. Transthoracic two-dimensional echocardiography, abdominal ultrasound and computerized tomography revealed a lobulated pelvic mass, a mass within right internal iliac vein, both common iliac vein, as well as the inferior vena cava, extending into the right atrium. In addition, echocardiography and abdominal ultrasound showed the tumor of right atrium and inferior vena cave has no stalk and has well-demarcated borders with the wall of right atrium and inferior vena cave. Hence, the presumptive diagnosis of IVL was made by echocardiography and abdominal ultrasound and the presumptive diagnosis of sarcoma with invasion in right internal iliac vein, both common iliac vein, the inferior vena cava, as well as the right atrium was made by multi-detector-row computerized tomography. The patient underwent a one-stage combined multidisciplinary thoraco-abdominal operation under general anaesthetic. Subsequently the pathologic report confirmed IVL.
authors.affiliation: Department of Ultrasound, Zhejiang University, Hangzhou, China.
authors.forename: Yu-Feng
authors.initials: YF
authors.lastname: Lou
authors.forename: Xin-Ping
authors.initials: XP
authors.lastname: Shi
authors.forename: Ze-Zhou
authors.initials: ZZ
authors.lastname: Song
mesh_terms: D000328:Adult; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D018231:Leiomyomatosis / Q000000981:diagnostic imaging* / Q000601:surgery; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D019043:Vascular Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging