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Pelvic Intravenous Leiomyomatosis - Case Report
Patricia Correia1, Ana Castro1, Anabela Rocha2
1Department of Gynecology and Obstetrics, Centro Hospitalar de Trás-os-Montes e Alto Douro (CHTMAD), Lordelo, Vila Real, Portugal.
Summary
Intravenous leiomyomatosis is a rare, benign condition that can be fatal if untreated. Early diagnosis and treatment are crucial for patient outcomes, as it is often missed.
Area of Science:
- Gynecology
- Pathology
Background:
- Intravenous leiomyomatosis (IVL) is a rare benign smooth muscle tumor originating from the uterus.
- It can spread through vascular channels, potentially leading to severe or fatal complications if not diagnosed and treated promptly.
Observation:
- A 46-year-old woman presented with a pelvic mass, leading to hysterectomy and bilateral adnexectomy.
- Intraoperative findings suggested IVL, which was confirmed by pathological analysis.
- No extra-pelvic involvement was detected through subsequent imaging.
Findings:
- The case highlights a diagnosis of IVL without extra-pelvic spread.
- Post-surgical follow-up for one year showed no evidence of disease recurrence.
- Pathological confirmation is essential for accurate diagnosis of IVL.
Implications:
- Increased awareness among gynecologists can help counteract the underdiagnosis of IVL.
- Prompt diagnosis and appropriate management are vital for improving patient prognosis and preventing life-threatening events.
- This case underscores the importance of considering IVL in the differential diagnosis of pelvic masses.
