A Case Report: Recurrent Intravenous Leiomyomatosis.

Kim, Seong Tae; Jung, Young Sub; Lee, Dong Kyu; Shin, Bong Sik; Jung, Yong Hwan; Lee, Hyo Jin

Case Report

Korean Journal of Obstetrics & Gynecology 2001;44(4):808-811.
Published online April 1, 2001.

A Case Report: Recurrent Intravenous Leiomyomatosis.

Seong Tae Kim, Young Sub Jung, Dong Kyu Lee, Bong Sik Shin, Yong Hwan Jung, Hyo Jin Lee

¹Department of Obstetrics & Gynecology, Seoul Adventist Hospital, Seoul, Korea.
²Department of General Surgery, Seoul Adventist Hospital, Seoul, Korea.
³Department of Anatomical Pathology, Seoul Adventist Hospital, Seoul, Korea.

Abstract

Intravenous leiomyomatosis is an uncommon uterine tumor characterized by the growth of histologically benign smooth muscle initially into venous channels within the broad ligament, intrauterine, and iliac vein, and can extend to inferior vena cava, and right side of the heart. Intravenous leiomyomatosis is always grossly visible as worm-like plugs within the involved vessels. A 41-year-old woman presented with lower abdominal mass, and she had undergone total abdominal hysterectomy and left salpingoophorectomy for leiomyoma of uterus. On pathological examination it was diagnosed as intravenous leiomyomatosis. 16 month later, She was admitted with lower abdominal mass on retroperitoneal cavity. The patient was successfully treated by resection of recurred mass and right salpingoophorectomy. A case of recurrent intravenous leiomyomatosis is presented with a brief review of literatures.

Key Words: Intravenous leiomyomatosis