title: A case of intravenous leiomyomatosis of uterine origin, extending through the inferior vena cava to right atrium.
abstract: Intravenous leiomyomatosis (IVL) is a rare benign tumor that originates from uterus, and sometimes extends to the right heart. We report a case of IVL that extended to right atrium through the inferior vena cava (IVC) which was resected using partial cardiopulmonary bypass. Multi detector computed tomography and ultrasound played a vital role in arriving at the diagnosis. Complete resection of tumor in the heart and great vein, and separation of the tumor stump from the IVC are essential in the treatment of IVL.
authors.affiliation: Division of Cardiovascular Surgery, Shimada General Hospital, Higashi-cho 5-3, Choshi, Chiba, 288-0053, Japan. drosawa@yahoo.co.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Osawa
authors.forename: Shigeru
authors.initials: S
authors.lastname: Hosaka
authors.forename: Okihiko
authors.initials: O
authors.lastname: Akashi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Furukawa
authors.forename: Koso
authors.initials: K
authors.lastname: Egi
mesh_terms: D000368:Aged; D003952:Diagnostic Imaging / Q000379:methods; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D018231:Leiomyomatosis / Q000175:diagnosis* / Q000601:surgery; D009361:Neoplasm Invasiveness; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery; D014652:Vascular Diseases / Q000473:pathology / Q000601:surgery; D019043:Vascular Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014682:Vena Cava, Inferior / Q000473:pathology