SHEN Jian , MA Jie.
  • Department of Thoracic and Cardiovascular Surgery, the Second Clinical Medical College, Shanxi Medical University, Taiyuan 030001, P.R. China;
Intravenous leiomyomatosis; Intracardiac leiomyomatosis; Uterus; Diagnosis; Surgerytreatment
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Abstract: Intravenous leiomyomatosis (IVL) is a rare kind of uterine myoma. It is a benign smooth muscle tumor with invading growth pattern. The tumor extends into venous channels, but rarely invades tissues. It grows along the refluxing direction of the venous channels, uterine vein, ovarian vein, and beyond the uterus, extends into the inferior vena cava till the right atrium or pulmonary arteries, resulting in intracardiac leiomyomatosis (ICL). At present, the tumor can be detected by ultrasonic waves, computer tomography and magnetic resonance imaging. The main ICL therapy is surgery which is divided into onestage operation and twostage operation in which the key is the complete tumor excision. Most sufferers have a good prognosis, but there are possibilities of recurrence. Missed diagnosis and misdiagnosis are not uncommon, because the disease is rare with hided and diversified clinical manifestations. It is fatal without special characteristics. For a better understanding of ICL, the recent research and treatment of ICL are reviewed.

Citation： SHEN Jian,MA Jie.. Advances of Diagnosis and Treatment of Intravenous Leiomyomatosis with Cardiac Extension. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2011, 18(3): 249-252. doi: Copy