Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature

Intravenous leiomyomatosis (IVL) is a rare tumor, characterized by benign smooth muscle growth inside veins. The tumor arises from the uterine venous wall or uterine leiomyomas and is usually confined to the pelvic cavity. However, on rare instances, it may extend into the cardiac cavity (Pathol Ann...

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Main Authors: Minhui L. Kim, Adriana Luk, Robert J. Cusimano, Narinder Paul, Jagdish Butany
Format: Article
Language:English
Published: Elsevier 2014-06-01
Series:Human Pathology: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214330013200015
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author Minhui L. Kim
Adriana Luk
Robert J. Cusimano
Narinder Paul
Jagdish Butany
author_facet Minhui L. Kim
Adriana Luk
Robert J. Cusimano
Narinder Paul
Jagdish Butany
author_sort Minhui L. Kim
collection DOAJ
description Intravenous leiomyomatosis (IVL) is a rare tumor, characterized by benign smooth muscle growth inside veins. The tumor arises from the uterine venous wall or uterine leiomyomas and is usually confined to the pelvic cavity. However, on rare instances, it may extend into the cardiac cavity (Pathol Annu 1988;23 Pt 2:153–158), and the pulmonary system (Arch Gynecol Obstet 2001;264:209–210). Treatment consists of surgical removal of the tumor, cessation of ovarian function and avoidance of estrogen replacement therapy (Gynecol Obstet Invest 2004;58:168–170). We present a case of intravenous leiomyomatosis with extension from IVC to RA, RV and PA, with an unusually rapid course of progression in the absence of estrogen (TAH-BSO, without concomitant hormonal therapy).
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spelling doaj.art-b4075307c4894e05baf0c47661d99d642022-12-21T17:43:28ZengElsevierHuman Pathology: Case Reports2214-33002014-06-0112132010.1016/j.ehpc.2014.07.001Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literatureMinhui L. Kim0Adriana Luk1Robert J. Cusimano2Narinder Paul3Jagdish Butany4Department of Pathology, Toronto General Hospital/University Health Network, Toronto, Ontario, CanadaDivision of Cardiology, Department of Medicine, University of Toronto, Toronto, Ontario, CanadaDepartment of Cardiac Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, Toronto, Ontario, CanadaDepartment of Medical Imaging, Toronto General Hospital/University Health Network, Toronto, Ontario, CanadaDepartment of Pathology, Toronto General Hospital/University Health Network, Toronto, Ontario, CanadaIntravenous leiomyomatosis (IVL) is a rare tumor, characterized by benign smooth muscle growth inside veins. The tumor arises from the uterine venous wall or uterine leiomyomas and is usually confined to the pelvic cavity. However, on rare instances, it may extend into the cardiac cavity (Pathol Annu 1988;23 Pt 2:153–158), and the pulmonary system (Arch Gynecol Obstet 2001;264:209–210). Treatment consists of surgical removal of the tumor, cessation of ovarian function and avoidance of estrogen replacement therapy (Gynecol Obstet Invest 2004;58:168–170). We present a case of intravenous leiomyomatosis with extension from IVC to RA, RV and PA, with an unusually rapid course of progression in the absence of estrogen (TAH-BSO, without concomitant hormonal therapy).http://www.sciencedirect.com/science/article/pii/S2214330013200015Intravenous leiomyomatosisIntracardiac leiomyomatosis
spellingShingle Minhui L. Kim
Adriana Luk
Robert J. Cusimano
Narinder Paul
Jagdish Butany
Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature
Human Pathology: Case Reports
Intravenous leiomyomatosis
Intracardiac leiomyomatosis
title Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature
title_full Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature
title_fullStr Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature
title_full_unstemmed Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature
title_short Intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo-oophorectomy: A case report and review of the literature
title_sort intracardiac extension of intravenous leiomyomatosis in a woman with previous hysterectomy and bilateral salpingo oophorectomy a case report and review of the literature
topic Intravenous leiomyomatosis
Intracardiac leiomyomatosis
url http://www.sciencedirect.com/science/article/pii/S2214330013200015
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