The diagnosis, morphological particularities, and surgical technique in a case of intravascular leiomyoma extended to the right heart chambers
Received 4 August 2009; accepted 30 September 2009. published online 04 January 2010.
Intravenous leiomyoma is a benign smooth muscle cell tumor of uterine origin that may grow into the pelvic veins and the inferior vena cava. It usually affects premenopausal women and the majority (90%) are parous. Because cardiac involvement is present in up to 10% of cases, it may be misdiagnosed as a primary cardiac tumor or a venous thrombus-in-transit. We describe a case of intravascular leiomyomatosis with cardiac extension and the morphological particularities of the removed tumor.
aDepartment of Cardiac and Vascular Surgery, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary
bFirst Surgical Clinic, Emergency Clinical Hospital of Targu Mures, Targu Mures, Romania
cInstitute of Cardiovascular Diseases and Transplantation, Targu Mures, Romania
dCardiology Department, Faculty of Medicine, Transilvania University, Brasov, Romania
eSecond Department of Pathology, Faculty of Medicine, Semmelweis University, Budapest, Hungary
Reprint requests: Zoltan Galajda, MD, PhD, Medical and Health Science Center, Departments of Cardiac and Vascular Surgery, Moricz Zsigmond St. 22, 4032 Debrecen, Hungary
Supported by the “TAMOP 4.2.2-08/1/KMR-2008-0004” research program for immunohistochemical investigations.
Competition on interest: none.
The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.
ABSTRACT