Intravenous Leiomyomatosis with Intracaval Mass, Intracardiac Extension, and Pulmonary Metastasis: A Case Report.

Choi, Jong Yeol; Lee, Chun June; Kim, Won Gyu; Cho, Sung Rae; Shin, Hong Chun

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(6):1241-1245.
Published online June 1, 2004.

Intravenous Leiomyomatosis with Intracaval Mass, Intracardiac Extension, and Pulmonary Metastasis: A Case Report.

Jong Yeol Choi, Chun June Lee, Won Gyu Kim, Sung Rae Cho, Hong Chun Shin

¹Department of Obstetrics and Gynecology, Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
²Department of Chest Surgery, Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
³Department of Obstetrics and Gynecology, Good Sam Sun Hospital, Busan, Korea.

Abstract

Intravenous leiomyomatosis (IVL) with intracaval mass, cardiac extension, and pulmonary metastasis is rare and it is characterized by nodular masses of smooth muscle proliferation that may extend to variable distances. We experienced a case of the intravenous leiomyomatosis originating from the uterus and extending to the ovarian veins, the iliac veins, the inferior vena cava, the right atrium and the lung. And it was diagnosed from the various preoperative studies and operated successfully through the single-stage approach. So we report it with a brief review of the literature.

Key Words: Intravenous leiomyomatosis (IVL), Uterine leiomyoma