Uterine Myxoid Leiomyosarcoma with Tumor Embolism Extending into the Right Atrium
Joint Authors
Kato, Kiyoko
Imai, Hiromi
Yagi, Hiroshi
Okugawa, Kaoru
Kenjo, Hironori
Ohgami, Tatsuhiro
Kawano, Yoshiaki
Kaneki, Eisuke
Ichinoe, Akimasa
Asanoma, Kazuo
Yahata, Hideaki
Kobayashi, Hiroaki
Kaku, Tsunehisa
Sonoda, Kenzo
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Uterine myxoid leiomyosarcoma (MLMS) is an extremely rare variant of uterine leiomyosarcoma; only 56 cases were reported from 1982 to 2013.
Uterine MLMS is characterized by a myxoid appearance and highly malignant behavior.
We herein report a case involving a 65-year-old woman with uterine MLMS with a large tumor embolism that reached the right atrium.
A total abdominal hysterectomy, bilateral salpingooophorectomy, and tumor embolism resection with the use of a heart-lung machine were performed.
Epirubicin-ifosfamide chemotherapy in the adjuvant setting led to reductions in both the tumor emboli and peritoneal dissemination.
The patient retained a good quality of life for 10 months after the initial surgery.
She then developed progressive disease despite treatment with pazopanib.
She died of her disease 14 months after the initial surgery.
Although complete surgical resection of the tumor is desirable, tumor reduction surgery followed by adjuvant chemotherapy might help to retain a good quality of life.
This is the first reported case of a primary uterine MLMS with tumor emboli.
American Psychological Association (APA)
Imai, Hiromi& Yagi, Hiroshi& Okugawa, Kaoru& Kenjo, Hironori& Ohgami, Tatsuhiro& Kawano, Yoshiaki…[et al.]. 2015. Uterine Myxoid Leiomyosarcoma with Tumor Embolism Extending into the Right Atrium. Case Reports in Obstetrics and Gynecology،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059117
Modern Language Association (MLA)
Imai, Hiromi…[et al.]. Uterine Myxoid Leiomyosarcoma with Tumor Embolism Extending into the Right Atrium. Case Reports in Obstetrics and Gynecology No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059117
American Medical Association (AMA)
Imai, Hiromi& Yagi, Hiroshi& Okugawa, Kaoru& Kenjo, Hironori& Ohgami, Tatsuhiro& Kawano, Yoshiaki…[et al.]. Uterine Myxoid Leiomyosarcoma with Tumor Embolism Extending into the Right Atrium. Case Reports in Obstetrics and Gynecology. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059117
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059117