Extension of uterine intravenous leiomyomatosis to the right heart
| Autor: | Xun Tian, Xihong Ge, Ruiguo Zhang, Jie Shen |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Vena Cava Inferior Iliac Vein Chest pain Inferior vena cava Intracardiac injection 030218 nuclear medicine & medical imaging Heart Neoplasms 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Uterine Neoplasm Hysterectomy Leiomyoma business.industry Phlebography Middle Aged medicine.disease Intravenous leiomyomatosis Treatment Outcome medicine.anatomical_structure medicine.vein 030220 oncology & carcinogenesis Uterine Neoplasms Circulatory system cardiovascular system Abdomen Female Radiology medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiovascular Computed Tomography. 10:261-262 |
| ISSN: | 1934-5925 |
| DOI: | 10.1016/j.jcct.2015.11.005 |
| Popis: | A 46-year-old woman was admitted with chest pain, shortness of breath and edema of the lower extremity. She had a hysterectomy 4 years previously for multiple uterine leiomyomas. Contrast-enhanced cardiac computed tomography (CT) demonstrated a dumbbell-shaped filling defect in the right atrium and right ventricle (Fig. 1A) extending into the inferior vena cava (IVC) as seen on a sagittal reformat (Fig. 1B). Accordingly, contrast-enhanced CT of the chest, abdomen and pelvis was performed and showed an intraluminal, continuous, cordlike mass extending from the common iliac veins into the IVC and right heart (Fig. 1C). Under circulatory arrest the patient underwent excision of the intravenous and intracardiac lesion as well as bilateral salpingo-oophorectomy. Pathologic examination of the tubular-shaped mass (Fig. 1D) confirmed uterine intravenous leiomyomatosis (IVL). Uterine IVL is a rare tumor, hypoattenuating in CT1,2 and |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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