Intravenous leiomyomatosis (IVL) of the uterus with extension into the inferior vena cava and right atrium: a case report

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  • TAKEKIDA Shigeki
    Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine
  • MOTOYAMA Satoru
    Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine
  • MARUO Takeshi
    Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine

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Other Title
  • 右心房に達した子宮原発静脈内平滑筋腫症の1例
  • 症例報告 右心房に達した子宮原発静脈内平滑筋腫症の1例
  • ショウレイ ホウコク ウ シンボウ ニ タッシタ シキュウ ゲンパツ ジョウミャク ナイ ヘイカツ キンシュショウ ノ 1レイ

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Abstract

Intravenous leiomyomatosis of the uterus is a rare neoplastic disease characterized by a benign intravenous smooth muscle tumor. A 47 years old woman was found to have intravenous leiomyomatosis of the uterus with extension into the inferior vena cava and the right atrium. Laparotomy revealed the uterus to be 14 x 13 x 11 cm in size consisting of 12 x 7 x 7 cm mass with retroperitoneal part projecting from its right wall. The retroperitoneal mass was connected to the right ovarian vein, extended into the inferior vena cava and reached the right atrium. The patient underwent sternotomy simultaneously with laparotomy. Excision of the total tumors was successfully achieved with the use of normothermic cardiopulmonary by-pass system under extracorporeal circulation. Pathological findings indicated that these tumors originated from leiomyoma. No additional therapy was required after surgery, and the patient has shown no evidence of recurrence of the disease for 9 years to date. [Adv Obstet Gynecol, 57(1) : 32-36, 2005(H17.2)]<br>

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