Late intracaval and intracardiac leiomyomatosis following hysterectomy for benign myomas treated by surgery and GnRH agonist

Gynecologic Oncology
P MoriceC Lhommé

Abstract

The aim of this study was to report an exceptional case of a patient presenting with intracaval and intracardiac leiomyomatosis treated by combined surgical and medical treatment. A 48-year-old presented with intracaval and intracardiac leiomyomatosis (IL) discovered 6 years following a total hysterectomy with ovarian conservation for myomas. Surgical resection of the pelvic myomas and intracaval leiomyomatosis was performed during the same surgical procedure. Given the presence of a small tumor residuum in the pelvic cavity, postoperative medical treatment based on a gonadotropin-releasing hormone (GnRH) agonist was delivered for 1 year. The patient was followed-up using clinical examination and systematic CT scan. Ten months following the end of medical treatment, she is still in good health and the pelvic residuum has stabilized. Patients with pelvic tumor combined with IL could be treated using a one-stage surgical procedure. In cases of incomplete surgical resection, medical treatment based on GnRH agonist could be successfully delivered.

References

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Feb 24, 2001·Archives of Gynecology and Obstetrics·K W Lo, T K Lau

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Citations

Mar 13, 2003·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·P M LamT H Cheung
May 19, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·H BezzaaF Gielen
Jan 20, 2016·International Journal of Vascular Medicine·Mathew P DoyleGreg Robertson
Mar 6, 2007·Gynécologie, obstétrique & fertilité·G RathatB Millat
Oct 8, 2003·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Keiichi FujiwaraMasahiro Iwasaki
Oct 23, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Fang Fang, Yat-Yin Lam
Feb 13, 2019·World Journal of Clinical Cases·Jie HeGang Zhao
Aug 17, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Zhi-Ying LuYing Zhang

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