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Case Reports
. 2019 Feb 6;7(3):347-356.
doi: 10.12998/wjcc.v7.i3.347.

Intravenous leiomyomatosis with different surgical approaches: Three case reports

Jie He  1 , Zheng-Bo Chen  2 , San-Ming Wang  2 , Mu-Biao Liu  3 , Zhi-Gang Li  3 , Hai-Yan Li  3 , Gang Zhao  4
Affiliations
Case Reports

Intravenous leiomyomatosis with different surgical approaches: Three case reports

Jie He et al. World J Clin Cases. .

Abstract

Background: Intravenous leiomyomatosis (IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.

Case summary: Here we report three cases of IVL treated with different surgical approaches. All patients presented with circulation symptoms. Two patients had lower extremity edema and the other had cardiopalmus. The diagnosis of IVL was confirmed based on the imagining examinations and pathological findings. All patients underwent surgical treatment and were discharged without any complications.

Conclusion: Preoperative examination is crucial for surgical planning and surgical approach is dependent on the patient's condition and tumor involvement.

Keywords: Cardiac tumors; Case report; Intravenous leiomyomatosis; Minimally-invasive; Surgery.

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Conflict of interest statement

Conflict-of-interest statement: All authors declared that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Representative images of Case 1. A: Computed tomography scan shows a continuous mass arising from the pelvis through the inferior cava vein; B: Echocardiography shows the mass extending into the right ventricle from the right atrium; C: Pathological examination of the tumor showed mass smooth muscle fibers proliferation with interstitial fibers edema, and infiltration of a few lymphocytes; D: The resected tumor during the surgery.
Figure 2
Figure 2
Representative images of Case 2. A: Computed tomography scan shows a continuous mass arising from the left side of the pelvis through the left renal vein and the inferior cava vein; B: Echocardiography shows the mass extending into the right ventricle from the right atrium; C: Pathological examination of the tumor showed concentration of spindle cells with mass hyaline degeneration; D: The resected tumor (displayed from the top to the bottom).
Figure 3
Figure 3
Representative images of Case 3. A: Computed tomography scan shows a continuous mass arising from the pelvis through the inferior cava vein; B: Echocardiography shows the mass in the right cardiac chamber; C: Pathological examination of the tumor showed concentration of smooth muscle cells with local hyaline degeneration; D: The resected tumor (displayed from the top to the bottom).
See this image and copyright information in PMC

References

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