Korean J Med.  2016 Oct;91(2):185-190. 10.3904/kjm.2016.91.2.185.

Intravenous Leiomyomatosis with Extension to the Heart Associated with Disseminated Peritoneal Leiomyomatosis

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. Yoorimbin@sejongh.co.kr
  • 2 Department of Cardiovascular Surgery, Sejong General Hospital, Bucheon, Korea.
  • 3 Department of Diagnostic Pathology, Sejong General Hospital, Bucheon, Korea.

Abstract

Leiomyomatosis refers to benign smooth muscle cell tumors that often arise from unusual growth patterns and include benign metastasizing leiomyoma, disseminated peritoneal leiomyomatosis, and intravenous leiomyomatosis. Intravenous leiomyomatosis is the extension of a vascular tumor into the venous channels, whereas disseminated peritoneal leiomyomatosis is characterized by multiple leiomyomas growing along the submesothelial tissues of the abdominopelvic peritoneum. It is extremely rare for intravenous leiomyomatosis and disseminated peritoneal leiomyomatosis to occur simultaneously. A 42-year-old female presented with disseminated peritoneal leiomyomatosis and intravenous leiomyomatosis extended through the inferior vena cava into the right side of the heart. The patient underwent one-stage surgery under simultaneous sternotomy and laparotomy, and radical excision of the tumor was achieved using cardiopulmonary bypass. Here we describe a case in which complete removal of a leiomyomatosis with an unusual growth pattern was successfully performed using one-stage surgery.

Keyword

Leiomyomatosis; Desseminated peritoneal leiomyomatosis; Intravenous leiomyomatosis

MeSH Terms

Adult
Cardiopulmonary Bypass
Female
Heart*
Humans
Laparotomy
Leiomyoma
Leiomyomatosis*
Myocytes, Smooth Muscle
Peritoneum
Sternotomy
Vena Cava, Inferior
Full Text Links
  • KJM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr