Intravenous Leiomyomatosis of the Uterus: A Retrospective Single-Center Study in 14 Cases
Joint Authors
Su, Qingbo
Zhang, Xiquan
Zhang, Hui
Liu, Yan
Dong, Zhaoru
Li, Guangzhen
Ding, Xiangjiu
Liu, Yang
Jiang, Jianjun
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-14
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Purpose.
This study aimed to retrospectively review the diagnosis and surgical treatment of uterine intravenous leiomyomatosis (IVL).
Methods.
The clinical data of 14 patients with uterine IVL admitted to our hospital between 2013 and 2018 were retrospectively analyzed, including their demographics, imaging results, surgical procedures, perioperative complications, and follow-up results.
Results.
The tumors were confined to the pelvic cavity in 7 patients, 1 into the inferior vena cava, 4 into the right atrium, and 2 into the pulmonary artery (including 1 into the superior vena cava).
Only one case was misdiagnosed as right atrial myxoma before the operation, which was found during the surgery and was treated by staging surgery; all the other patients underwent one-stage surgical resection.
Three patients underwent complete resection of the right atrial tumor through the abdominal incision, and one patient died of heart failure in the process of resection of heart tumor without abdominal surgery.
During the 6–60 months of follow-up, 4 patients developed deep venous thrombosis of the lower extremity, and 1 patient developed ovarian vein thrombosis and pulmonary embolism.
After anticoagulation treatment, the symptoms disappeared.
One patient refused hysterectomy and the uterine fibroids recurred 4 years after the operation.
Conclusion.
Specific surgical plans for uterine IVL can be formulated according to cardiac ultrasound and computed tomography (CT).
For the first type of tumor involving the right atrium, the right atrium tumor can be completely removed through the abdominal incision alone to avoid thoracotomy.
The disease is at high risk of thrombosis and perioperative routine anticoagulation is required.
American Psychological Association (APA)
Su, Qingbo& Zhang, Xiquan& Zhang, Hui& Liu, Yan& Dong, Zhaoru& Li, Guangzhen…[et al.]. 2020. Intravenous Leiomyomatosis of the Uterus: A Retrospective Single-Center Study in 14 Cases. BioMed Research International،Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1138280
Modern Language Association (MLA)
Su, Qingbo…[et al.]. Intravenous Leiomyomatosis of the Uterus: A Retrospective Single-Center Study in 14 Cases. BioMed Research International No. 2020 (2020), pp.1-14.
https://search.emarefa.net/detail/BIM-1138280
American Medical Association (AMA)
Su, Qingbo& Zhang, Xiquan& Zhang, Hui& Liu, Yan& Dong, Zhaoru& Li, Guangzhen…[et al.]. Intravenous Leiomyomatosis of the Uterus: A Retrospective Single-Center Study in 14 Cases. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1138280
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138280