RESECTION OF LEIOMYOSARCOMA ORIGINATING IN INTERNAL ILIAC VEIN AND EXTENDING INTO HEART VIA INFERIOR VENA-CAVA

  • 1 January 1981
    • journal article
    • research article
    • Vol. 89  (5) , 604-611
Abstract
A patient''s condition was initially diagnosed as constrictive pericarditis, but an echocardiogram revealed the presence of an intracardiac tumor. The tumor was a slow-growing leiomyosarcoma that originated in the left internal iliac vein, extended into the inferior vena cava and reached the right ventricle. This tumor was considered to be a recurrent uterine leiomyosarcoma resected 4 yr before. After a 2nd resection of this tumor, the patient was living a normal life 6 1/2 yr postoperatively, in spite of recurrence in the pelvis and lung. Cases [12] of leiomyosarcoma in the world literature that reached the heart through the inferior vena cava were reviewed. The above case was added and the clinical features of all 13 were reviewed. This apparently is the 1st successfully resected case of leiomyosarcoma of this nature.