Thorac cardiovasc Surg 2019; 67(08): 672-674
DOI: 10.1055/s-0039-1692157
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Is Endothelial Neoplastic Implantation the Reason for the Intravenous Leiomyomatosis in the Heart without Direct Growth from Vena Cava? A Report of Six Cases

Yunzhu Li
1  Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Qi Miao
1  Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Ninghai Cheng
1  Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
He Liu
1  Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Guotao Ma
1  Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
› Author Affiliations
Funding No funding has been received.
Further Information

Publication History

06 March 2019

23 April 2019

Publication Date:
28 June 2019 (online)

Abstract

Intravenous leiomyomatosis (IVL) with intracardiac involvement is a rare condition. Previous case reports have described direct tumor extension into the vena cava and cardiac chamber. Six patients with intracardiac lesion without direct growth from the IVC were admitted. Surgical resections were performed including total hysterectomy and bilateral salpingo-oophorectomy. Post-operative pathology revealed intravenous leiomyomatosis. The endothelial neoplastic implantation of IVL is a possible reason for the disseminated lesions of IVL within venous system. Awareness of this entity helps clinicians avoid misdiagnosis and take appropriate treatment.