Intravenous leiomyomatosis with different surgical approaches: Three case reports

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Jie He1, Zheng-Bo Chen2, San-Ming Wang2

  • 1Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China.

World Journal of Clinical Cases
|February 13, 2019
PubMed

Insights

Intravenous leiomyomatosis (IVL) is a rare condition requiring surgery. Optimal surgical approach depends on patient condition and tumor extent, necessitating thorough preoperative evaluation.

Area of Science:

  • Cardiovascular Surgery
  • Gynecologic Oncology
  • Vascular Surgery

Background:

  • Intravenous leiomyomatosis (IVL) is a rare neoplastic proliferation of smooth muscle cells.
  • Surgical management of IVL is complex and requires a multidisciplinary team approach.
  • Optimal surgical strategies for IVL remain undetermined.

Observation:

  • This report details three cases of IVL managed with distinct surgical techniques.
  • Patients presented with circulatory compromise, including lower extremity edema and palpitations.
  • Diagnosis was confirmed via imaging and histopathological examination.

Findings:

  • All three patients successfully underwent surgical resection of IVL.
  • Postoperative recovery was uneventful, with no reported complications.
  • Surgical outcomes were favorable across different approaches.

Implications:

  • Comprehensive preoperative assessment is vital for effective IVL surgical planning.
  • The choice of surgical approach should be tailored to individual patient circumstances and tumor characteristics.
  • Further research into standardized surgical protocols for IVL is warranted.
Abstract

Keywords:
Cardiac tumorsCase reportIntravenous leiomyomatosisMinimally-invasiveSurgery

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