A rare case of intracardiac leiomyomatosis in a patient who underwent complete tumor resection only using the laparotomic approach.

Autor: Turan T; Department of Gynecologic Oncology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, No: 1, Ankara, Cankaya 06800, Turkey., Sert DE; Department of Cardiovascular Surgery, Ankara City Hospital, University of Health Sciences, Ankara, Turkey., Kilic F; Department of Gynecologic Oncology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, No: 1, Ankara, Cankaya 06800, Turkey. Electronic address: drfatihkilic@hotmail.com., Karadeniz U; Department of Anesthesiology and Reanimation, Ankara City Hospital, University of Health Sciences, Ankara, Turkey., Okten S; Department of Radiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey., Turkmen O; Department of Gynecologic Oncology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, No: 1, Ankara, Cankaya 06800, Turkey., Kervan U; Department of Cardiovascular Surgery, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Journal of gynecology obstetrics and human reproduction [J Gynecol Obstet Hum Reprod] 2022 Oct; Vol. 51 (8), pp. 102452. Date of Electronic Publication: 2022 Jul 31.
DOI: 10.1016/j.jogoh.2022.102452
Abstrakt: Intracardiac leiomyomatosis (ICLM) is a rare tumor that usually originates from the mesenchymal cells of the uterus. If left untreated, it may lead to cardiac symptoms and sudden death. The present case was a 45-year-old female patient who presented with occasional palpitations. The imaging methods revealed a heterogeneous mass likely to be leiomyoma with intense enhancement in the arterial phase in the uterus, extending from the ovarian and uterine veins to the heart through the inferior vena cava. The tumor council attributed these findings to intravenous leiomyomatosis with intracardiac extension. Accordingly, a multidisciplinary surgical team performed complete excision of the intracardiac leiomyomatosis in the patient presented herein using only the laparotomic approach. The gold standard in the treatment of ICLM is complete tumor excision. Excision of intracardiac tumors can be performed through controlled traction from the abdominal region.
Competing Interests: Declaration of Competing Interest The authors declare no competing interest. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sector.
(Copyright © 2022 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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