Case report: Cardiac metastatic leiomyoma in an Asian female

BackgroundUterine leiomyomas are the most common gynecological tumors in women of child-bearing age and premenopausal women, while benign metastasizing leiomyomas of the heart are rare.Case presentationWe report a rare case of metastasizing leiomyoma in the heart of a 54-year-old woman 10 years afte...

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Main Authors: Juan Li, Hong Zhu, Shuang-Ye Hu, Shang-Qing Ren, Xing-Lan Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.991558/full
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author Juan Li
Juan Li
Hong Zhu
Hong Zhu
Shuang-Ye Hu
Shang-Qing Ren
Shang-Qing Ren
Xing-Lan Li
Xing-Lan Li
author_facet Juan Li
Juan Li
Hong Zhu
Hong Zhu
Shuang-Ye Hu
Shang-Qing Ren
Shang-Qing Ren
Xing-Lan Li
Xing-Lan Li
author_sort Juan Li
collection DOAJ
description BackgroundUterine leiomyomas are the most common gynecological tumors in women of child-bearing age and premenopausal women, while benign metastasizing leiomyomas of the heart are rare.Case presentationWe report a rare case of metastasizing leiomyoma in the heart of a 54-year-old woman 10 years after a uterine leiomyoma was discovered during hysterectomy. Echocardiography, cardiac plain scan and enhanced MRI at presentation showed a soft tissue signal mass in the right ventricle. A large cardiac mass attached to the chordae of the tricuspid valve and later shown to be histopathologically consistent with uterine leiomyoma was successfully resected through a right atriotomy.ConclusionsOur case report highlights a rare type of tumor of the heart and suggests that metastasizing leiomyoma should be considered in the differential diagnosis of right-sided cardiac tumors. The complete surgical resection of the tumor was considered to be the best treatment.
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spelling doaj.art-0eaae13fca404ea6a556d3bd58b9cb992022-12-22T01:26:49ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-08-01910.3389/fsurg.2022.991558991558Case report: Cardiac metastatic leiomyoma in an Asian femaleJuan Li0Juan Li1Hong Zhu2Hong Zhu3Shuang-Ye Hu4Shang-Qing Ren5Shang-Qing Ren6Xing-Lan Li7Xing-Lan Li8Department of Pathology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaDepartment of Pathology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaDepartment of Pathology, Longquanyi District of Chengdu Maternity and Child Health Care Hospital, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Pathology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaBackgroundUterine leiomyomas are the most common gynecological tumors in women of child-bearing age and premenopausal women, while benign metastasizing leiomyomas of the heart are rare.Case presentationWe report a rare case of metastasizing leiomyoma in the heart of a 54-year-old woman 10 years after a uterine leiomyoma was discovered during hysterectomy. Echocardiography, cardiac plain scan and enhanced MRI at presentation showed a soft tissue signal mass in the right ventricle. A large cardiac mass attached to the chordae of the tricuspid valve and later shown to be histopathologically consistent with uterine leiomyoma was successfully resected through a right atriotomy.ConclusionsOur case report highlights a rare type of tumor of the heart and suggests that metastasizing leiomyoma should be considered in the differential diagnosis of right-sided cardiac tumors. The complete surgical resection of the tumor was considered to be the best treatment.https://www.frontiersin.org/articles/10.3389/fsurg.2022.991558/fullmetastasizing leiomyomaheartcase reportsurgeryoutcome
spellingShingle Juan Li
Juan Li
Hong Zhu
Hong Zhu
Shuang-Ye Hu
Shang-Qing Ren
Shang-Qing Ren
Xing-Lan Li
Xing-Lan Li
Case report: Cardiac metastatic leiomyoma in an Asian female
Frontiers in Surgery
metastasizing leiomyoma
heart
case report
surgery
outcome
title Case report: Cardiac metastatic leiomyoma in an Asian female
title_full Case report: Cardiac metastatic leiomyoma in an Asian female
title_fullStr Case report: Cardiac metastatic leiomyoma in an Asian female
title_full_unstemmed Case report: Cardiac metastatic leiomyoma in an Asian female
title_short Case report: Cardiac metastatic leiomyoma in an Asian female
title_sort case report cardiac metastatic leiomyoma in an asian female
topic metastasizing leiomyoma
heart
case report
surgery
outcome
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.991558/full
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