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Intravenous leiomyoma with cardiac involvement
C Anichini1, G Calamai, E Pedemonte
1Department of Pathology, University of Florence, Florence, Italy.
Summary
Intravenous leiomyomatosis (IVL) is a rare uterine vein neoplasm that can extend to the heart. This case highlights IVL as a critical differential diagnosis for cardiac masses.
Area of Science:
- Cardiovascular Medicine
- Gynecologic Oncology
- Pathology
Background:
- Intravenous leiomyomatosis (IVL) is a rare, benign neoplastic proliferation of smooth muscle tissue that typically originates from the uterus.
- It characteristically grows along venous pathways, potentially extending into the pelvic and abdominal vasculature.
Observation:
- A 44-year-old woman presented with clinical manifestations suggestive of cardiothoracic involvement.
- The patient's condition involved an unusual extension of IVL, reaching the right heart cavities.
Findings:
- The case demonstrates the potential for IVL to present with significant cardiovascular symptoms.
- The intracardiac extension of IVL requires careful diagnostic consideration.
Implications:
- This case underscores the importance of including IVL in the differential diagnosis of cardiac masses, particularly in women with a history of uterine conditions.
- Accurate diagnosis is crucial for appropriate management and to differentiate IVL from cardiac myxomas or thrombi.