“Evolution” of intravascular leiomyomatosis
Abstract Background Intravenous leiomyomatosis (IVL) is a rare and specific type of smooth muscle tumor that is histologically benign but has a malignant biological behavior. It is commonly associated with a history of uterine leiomyomas. Case presentation A 36-year-old woman, G1P1, presented to the...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-023-02618-3 |
| _version_ | 1827708592640229376 |
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| author | Li Chen Yunping Yang Chengzhi Zhao |
| author_facet | Li Chen Yunping Yang Chengzhi Zhao |
| author_sort | Li Chen |
| collection | DOAJ |
| description | Abstract Background Intravenous leiomyomatosis (IVL) is a rare and specific type of smooth muscle tumor that is histologically benign but has a malignant biological behavior. It is commonly associated with a history of uterine leiomyomas. Case presentation A 36-year-old woman, G1P1, presented to the hospital with left lower abdominal pain for 2 months and she has accepted hysteroscopic myomectomy about 1 year ago. Ultrasound venography, echocardiography and computed tomography venography (CTV) of inferior vena cava were performed, which revealed IVL located in left intramural myometrium walls growing along the left ovarian vein reaching the level of the lumbar 5-sacral 1 disc. Laparoscopic bilateral salpingo-oophorectomy and hysterectomyis were scheduled. The IVL in the left ovarian vein and parauterine venous plexus were detected and excised completely during surgery. IVL was diagnosed by postoperative pathology and immunohistochemistry. The patient recovered well after surgery. No surgical-related or anesthesia-related complications occurred.The 3-month follow-up CTV of inferior vena cava and echocardiography examination revealed normal. Conclusions The cause of IVL is unknown, this observation demonstrates that hysteroscopic myomectomy might lead to the occurrence of IVL. |
| first_indexed | 2024-03-10T17:07:44Z |
| format | Article |
| id | doaj.art-4725994f5afa415aa463efef6fc99ec8 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-10T17:07:44Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-4725994f5afa415aa463efef6fc99ec82023-11-20T10:46:08ZengBMCBMC Women's Health1472-68742023-09-012311510.1186/s12905-023-02618-3“Evolution” of intravascular leiomyomatosisLi Chen0Yunping Yang1Chengzhi Zhao2Department of Obstetrics and Gynecology, Chongqing Health Center for Women and Children, Women and Children’s Hospital of Chongqing Medical UniversityDepartment of Quality Management, Chongqing Health Center for Women and Children, Women and Children’s Hospital of Chongqing Medical UniversityDepartment of Obstetrics and Gynecology, Chongqing Health Center for Women and Children, Women and Children’s Hospital of Chongqing Medical UniversityAbstract Background Intravenous leiomyomatosis (IVL) is a rare and specific type of smooth muscle tumor that is histologically benign but has a malignant biological behavior. It is commonly associated with a history of uterine leiomyomas. Case presentation A 36-year-old woman, G1P1, presented to the hospital with left lower abdominal pain for 2 months and she has accepted hysteroscopic myomectomy about 1 year ago. Ultrasound venography, echocardiography and computed tomography venography (CTV) of inferior vena cava were performed, which revealed IVL located in left intramural myometrium walls growing along the left ovarian vein reaching the level of the lumbar 5-sacral 1 disc. Laparoscopic bilateral salpingo-oophorectomy and hysterectomyis were scheduled. The IVL in the left ovarian vein and parauterine venous plexus were detected and excised completely during surgery. IVL was diagnosed by postoperative pathology and immunohistochemistry. The patient recovered well after surgery. No surgical-related or anesthesia-related complications occurred.The 3-month follow-up CTV of inferior vena cava and echocardiography examination revealed normal. Conclusions The cause of IVL is unknown, this observation demonstrates that hysteroscopic myomectomy might lead to the occurrence of IVL.https://doi.org/10.1186/s12905-023-02618-3Intravascular leiomyomatosisHysteroscopic myomectomyLaparoscopic surgery |
| spellingShingle | Li Chen Yunping Yang Chengzhi Zhao “Evolution” of intravascular leiomyomatosis BMC Women's Health Intravascular leiomyomatosis Hysteroscopic myomectomy Laparoscopic surgery |
| title | “Evolution” of intravascular leiomyomatosis |
| title_full | “Evolution” of intravascular leiomyomatosis |
| title_fullStr | “Evolution” of intravascular leiomyomatosis |
| title_full_unstemmed | “Evolution” of intravascular leiomyomatosis |
| title_short | “Evolution” of intravascular leiomyomatosis |
| title_sort | evolution of intravascular leiomyomatosis |
| topic | Intravascular leiomyomatosis Hysteroscopic myomectomy Laparoscopic surgery |
| url | https://doi.org/10.1186/s12905-023-02618-3 |
| work_keys_str_mv | AT lichen evolutionofintravascularleiomyomatosis AT yunpingyang evolutionofintravascularleiomyomatosis AT chengzhizhao evolutionofintravascularleiomyomatosis |