title: Multimodality treatment of two cases of intracardiac leiomyomatosis with enormous mass in the abdominopelvic cavity.
abstract: Difficulties in the preoperative preparation and surgical management of patients with intravenous leiomyomatosis involving the heart and pulmonary artery resulting in intracardiac leiomyomatosis necessitate further investigation of this condition. In this report, we describe the interdisciplinary treatment of two cases of intracardiac leiomyomatosis with enormous mass in the abdominopelvic cavity. A single-stage surgical procedure with a combined thoracic and abdominal approach was performed in both cases and the tumors were successfully excised. The procedure also involved removal of the atrial, caval and other venular extensions, and total hysterectomy with bilateral salpingo-oophorectomy. Postoperative pathology findings confirmed the diagnosis of intravenous leiomyomatosis. Neither patient died perioperatively, and no complications were observed.
authors: Department of General Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai 200032, Shanghai, China.
authors: Yong
authors: Y
authors: Zhang
authors: Jun
authors: J
authors: Zhu
authors: Chunsheng
authors: C
authors: Wang
authors: Ruiqin
authors: R
authors: Tu
authors: Junhao
authors: J
authors: Jiang
authors: Weiqi
authors: W
authors: Lu
mesh_terms: D000008:Abdominal Neoplasms / Q000473:pathology* / Q000601:surgery / Q000628:therapy*; D000328:Adult; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D006801:Humans; D007044:Hysterectomy; D018231:Leiomyomatosis / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D010386:Pelvic Neoplasms / Q000473:pathology* / Q000601:surgery / Q000628:therapy*; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery; D014682:Vena Cava, Inferior / Q000473:pathology