ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Extrapelvic intravenous uterine leiomyomatosis mimicing cardiac myxoma and deep vein thrombosis
Elif Coşkun Sungur1, İlker Selçuk2, Hamdi Mehmet Özbek4, Okan Aytekin2, Nimet Öge Köklü3, Nesrin Turhan3, Süreyya Talay5, Ahmet Sarıtaş1, Hakan Raşit Yalçın2
1Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Türkiye
2Department of Gynecologic Oncology, Ankara City Hospital, Ankara, Türkiye
3Department of Pathology, Ankara City Hospital, Ankara, Türkiye
4Department of Cardiovascular Surgery, Niğde Ömer Halisdemir University Training and Research Hospital, Niğde, Türkiye
5Department of Cardiovascular Surgery, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2022.22864
Extrapelvic intravenous uterine leiomyomatosis is a rare smooth muscle neoplasm. Uterine leiomyomatosis is a histologically benign pathology. Rarely, it can be confused with a cardiac mass. A 44-year-old female patient was admitted with increasing severity of pain and swelling in both legs for the past week. The patient was initially diagnosed with bilateral deep vein thrombosis. After further evaluation, we decided that the patient had cardiac myxoma. However, we intraoperatively observed that the lesion in the right atrium was arising from the inferior vena cava. In the final postoperative histopathological evaluation, the definite diagnosis was extrapelvic intravenous leiomyomatosis. The patient was discharged uneventfully following her second operation.
Keywords : Intracardiac leiomyomatosis/leiomyoma, intravenous leiomyomatosis/leiomyoma, myxoma
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