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Related Experiment Video

Updated: Nov 23, 2025

Monitoring Tumor Metastases and Osteolytic Lesions with Bioluminescence and Micro CT Imaging
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Cardiac metastasizing leiomyoma: A case report.

Raquel Reis Soares1, Leonardo Ferber Drumond2, Daniel Soares da Mata3

  • 1Biocor Institute, Brazilian Society of Anesthesiology, Brazil.

International Journal of Surgery Case Reports
|January 5, 2021
PubMed
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Benign Metastasizing Leiomyoma (BML) is a rare condition where uterine leiomyomas spread to the heart. This case highlights cardiac BML, emphasizing its metastatic potential despite benign histology.

Area of Science:

  • Cardiology
  • Gynecologic Oncology
  • Pathology

Background:

  • Benign Metastasizing Leiomyoma (BML) is a rare condition characterized by the spread of uterine leiomyomas.
  • Cardiac involvement in BML is exceptionally rare and often asymptomatic.
  • BML primarily affects premenopausal women with a history of uterine leiomyomas.

Observation:

  • A 42-year-old woman presented with three tumors in the right side of her heart.
  • These cardiac masses were discovered two years after a hysterectomy for leiomyomatosis.
  • The patient developed cardiac failure secondary to the intracardiac tumors.

Findings:

  • Surgical resection of the cardiac tumors confirmed the diagnosis of uterine leiomyoma.
  • A co-existing ovarian mass was also identified and removed.
Keywords:
Benign metastasizingCardiac metastasisCardiac tumourCase reportLeiomyoma

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  • Histological examination revealed that although benign, the BML exhibited metastatic characteristics.

    • Implications:

    • This case underscores the importance of considering BML in the differential diagnosis of intracardiac masses in women.
    • Early recognition and surgical intervention are crucial for managing cardiac BML.
    • BML, despite its benign histological nature, possesses metastatic potential requiring vigilant monitoring.