Annals of Vascular Diseases
Online ISSN : 1881-6428
Print ISSN : 1881-641X
ISSN-L : 1881-641X
Case Report
Intravenous Leiomyomatosis of the Uterus Extending to the Right Atrium: A Case Report
Kaori Katsumata Yasunori IidaKento KurooYu InabaTakahisa MikiTakashi HachiyaHideyuki Shimizu
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JOURNAL OPEN ACCESS

2025 Volume 18 Issue 1 Article ID: cr.24-00084

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Abstract

Intravenous leiomyomatosis (IVL) remains scarcely reported, and complete tumor resection is the recommended treatment. Herein, we present a comprehensive review of the case of a 52-year-old woman who suffered from recurrent syncope episodes due to IVL with intracardiac extension to the right atrium. Partial tumor resection and postoperative hormone therapy were conducted first. However, the 6-month postoperative follow-up computed tomography scan revealed a tendency for the IVL to increase in size, and complete resection was conducted. In this article, we would like to emphasize that partial resection followed by hormone therapy is insufficient for IVL, and complete resection should be chosen.

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© 2025 The Editorial Committee of Annals of Vascular Diseases

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