Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature
Clinical Medicine Research
Volume 6, Issue 4, July 2017, Pages: 135-138
Received: May 4, 2017;
Accepted: Jun. 14, 2017;
Published: Jul. 4, 2017
Views 2146 Downloads 100
Shanrong Shu, Department of Gynecology and Obstetrics, the First Afﬁliated Hospital of Jinan University, Guangzhou, People’s Republic of China
Ruiman Li, Department of Gynecology and Obstetrics, the First Afﬁliated Hospital of Jinan University, Guangzhou, People’s Republic of China
Xuesong Gao, Department of Gynecology and Obstetrics, the First Afﬁliated Hospital of Jinan University, Guangzhou, People’s Republic of China
Intravenous leiomyomatosis (IVL) is a benign smooth muscle tumor which may cause fatal outcome. Furthermore, the clinical manifestations are variable and nonspecific, typically resulting in misdiagnosis. Computerized Tomography (CT) played a vital role in the diagnostic process and pre-surgical assessment. Here we describe one case of IVL extending from the inferior vena cava to the right atrium and ventricle, then review the literature and discuss the imaging findings and clinical manifestation of this tumor. It is suggestive for clinicians to be aware of this condition and highly suspect a middle-aged woman with a history of uterine leiomyoma presenting with an inferior vena cava filling defect or mass shadow to early diagnose and treat.
Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature, Clinical Medicine Research.
Vol. 6, No. 4,
2017, pp. 135-138.
FV B. Text book of Pathological Anatomy. 5th edition. F. C. W. Vogel, Leipzig, 1896. 226-258.
Norris H J, Parmley T. Mesenchymal tumors of the uterus. V. Intravenous leiomyomatosis. A clinical and pathologic study of 14 cases. Cancer. 1975; 36 (6): 2164-2178.
Rajaii-Khorasani A, Kahrom M, Hashemzadeh M, Tayebi S, Ghazi M. Hamedanchi A. Pulmonary artery extension of uterine leiomyoma. J Card Surg. 2012; 27 (4): 466-469.
Lee S, Kim DK, Narm KS, Cho SH. Pulmonary artery emboli zation of intravenous leiomyo matosis extending into the right atrium. Korean J Thorac Cardiovasc Surg. 2011; 44 (3): 243-246.
Valdes DV, Conley CR, Stone WM, Collins JM, Magrina JF. Update on intravenous leiomyo matosis: report of five patients and literature review. Eur J Obstet Gynecol Reprod Biol. 2013; 171 (2): 209-213.
Izzat MB, Bayazid SS, huaibi I. Pelvic intravenous leiomyo matosis with transcaval extension to the heart and pulmonary arteries. J Card Surg. 2011; 26 (6): 630-631.
Du J, Zhao X, Guo D, Li H Sun B. Intravenous leiomyomatosis of the uterus: a clinicopathologic study of 18 cases, with emphasis on early diagnosis and appropriate treatment stra tegies. Hum Pathol. 2011; 42 (9): 1240-1246.
Clay TD, Dimitriou J, McNally OM, Russell PA, Newcomb AE, Wilson AM. Intravenous leiomyo matosis with intracardiac extension- a review of diagnosis and management with an illustrative case. Surg Oncol. 2013; 22 (3): e44-e52.
Matos AP, Ramalho M, Palas J, Heredia V. Heart extension of an intravenous leiomyomatosis. Clin Imaging. 2013; 37 (2): 369-373.
Bender LC, Mitsumori LM, Lloyd KA, Stambaugh LR. AIRP best cases in radiologic-pathologic correlation: intravenous leiomyomatosis. Radiographics. 2011; 31 (4): 1053-1058.
Barksdale J, Abolhoda A, Saremi F. Intravenous leiomyo matosis presenting as acute Budd-Chiari syndrome. J Vasc Surg. 2011; 54 (3): 860-863.
Nogales FF, Navarro N, Martinez D VJ, Contreras F, Redondo C, Herraiz MA, et al. Uterine intravascular leiomyomatosis: an update and report of seven cases. Int J Gynecol Pathol. 1987; 6 (4): 331 -339.
Magyar E, Salamon F, Tomcsanyi I. Intravascular leiomyo matosis presenting as a right atrial mass. Lege Artis Med. 2007; 17 (10): 694-697.
Gunderson CC, Parsons B, Penaroza S, Peyton MD, Landrum LM. Intravenous leiomyomatosis disguised as a large deep vein thrombosis. J Radiol Case Rep. 2016; 10 (5): 29-35.
Barksdale J, Abolhoda A, Saremi F. Intravenous leiomyoma tosis presenting as acute Budd-Chiari syndrome. J Vasc Surg. 2011; 54 (3): 860-863.
Lu CZ, Cao SS, Wang W, Liu J, Fu N, Lu F. Usefulness of PET/ CT in the diagnosis of recurrent or metastasized differentiated thyroid carcinoma. Oncology letters. 2016; 4 (11): 2420-2423.
McDonald DK, Kalva SP, Fan CM, Vasilyev A. Leiomyo sarcoma of the uterus with intravascular tumor extension and pulmonary tumor embolism. Cardiovasc Intervent Radiol. 2007; 30 (1): 140-142.
Osawa H, Hosaka S, Akashi O, Furukawa H, Egi K. A case of intravenous leiomyomatosis of uterine origin, extending throughthe inferior vena cava to right atrium. Gen Thorac Cardiovasc Surg. 2013; 61 (2): 104-107.
Wang J, Yang J, Huang H, Li Y, Miao Q, Lu X, et al. Manage ment of intravenous leiomyomatosis with intracaval and intra cardiac extension. Obstet Gynecol 2012; 120 (6): 1400-1406.