2.Benign Pulmonary Metastasizing Leiomyomatosis: Case Report and a Review of the Literature.
Young Il KWON ; Tae Hyung KIM ; Jang Won SOHN ; Ho Joo YOON ; Dong Ho SHIN ; Sung Soo PARK
The Korean Journal of Internal Medicine 2006;21(3):173-177
The authors report here on a case of a nearly asymptomatic 51-year-old Korean woman who was found to have diffuse, multiple nodules of the lungs on a routine chest radiograph. She had undergone hysterectomy 16 years previously for uterine myoma. An open lung biopsy revealed tumor that was composed of interlacing bundles of spindle cells with cigar shaped nucleus and eosinophilic myofibrils in the cytoplasm; consistent with multiple leiomyomas. The stains for SMA, desmin, MSA and Ki-67 were positive and the stain for c-kit was negative. The other stains for estrogen and progesterone receptor were positive. During the open lung biopsy procedure, all the nodules were excised. We report here on an interesting case of benign metastasizing leiomyoma (BML) in 51-year-old patient. To the best of our knowledge, this case showed the longest period of clinical progression in Korea. This is also one of a few cases in which curative excision was successfully performed.
Uterine Neoplasms/*pathology/surgery
;
Ovariectomy
;
Middle Aged
;
Lung Neoplasms/diagnosis/*secondary
;
Leiomyomatosis/*pathology/surgery
;
Hysterectomy
;
Humans
;
Female
;
Disease Progression
3.Cotyledonoid hydropic intravenous leiomyomatosis of uterus: report of a case.
Ying WU ; Ju-fang CAI ; Guo-feng ZHANG ; Shou-xiang WENG ; Yi-jian YU
Chinese Journal of Pathology 2006;35(12):763-764
Adult
;
Diagnosis, Differential
;
Female
;
Humans
;
Hysterectomy
;
Leiomyomatosis
;
pathology
;
surgery
;
Sarcoma, Endometrial Stromal
;
pathology
;
Uterine Neoplasms
;
pathology
;
surgery
;
Uterus
;
blood supply
;
Vascular Neoplasms
;
pathology
;
surgery
4.Intravenous leiomyomatosis of uterus growing into vena cava and right atrium: report of a case.
Jian-ming WENG ; Wen-qiao WU ; Ming-zhi CAI
Chinese Journal of Pathology 2009;38(2):133-133
Actins
;
metabolism
;
Female
;
Heart Atria
;
pathology
;
Heart Neoplasms
;
secondary
;
surgery
;
Humans
;
Iliac Vein
;
pathology
;
surgery
;
Leiomyomatosis
;
metabolism
;
pathology
;
surgery
;
Middle Aged
;
Uterine Neoplasms
;
metabolism
;
pathology
;
surgery
;
Vascular Neoplasms
;
metabolism
;
pathology
;
surgery
;
Veins
;
pathology
;
surgery
;
Vena Cava, Inferior
;
pathology
5.Intravenous leiomyomatosis--report of two cases.
Guangxing FENG ; Jilin JING ; Fenghe LAN
Chinese Medical Sciences Journal 2004;19(1):55-55
Adult
;
Female
;
Follow-Up Studies
;
Heart Neoplasms
;
secondary
;
surgery
;
Humans
;
Leiomyoma
;
pathology
;
surgery
;
Leiomyomatosis
;
surgery
;
Pelvic Neoplasms
;
secretion
;
surgery
;
Pulmonary Artery
;
pathology
;
Reoperation
;
Uterine Neoplasms
;
pathology
;
surgery
;
Vascular Neoplasms
;
secretion
;
surgery
;
Vena Cava, Inferior
;
pathology
6.Right atrial mass: a diagnostic dilemma.
Abdur BAIG ; Sonia BORRA ; Norbert MOSKOVITS ; Adnan SADIQ ; Manfred MOSKOVITS
Annals of the Academy of Medicine, Singapore 2011;40(2):100-101
Adult
;
Anticoagulants
;
therapeutic use
;
Carcinoma, Renal Cell
;
complications
;
pathology
;
surgery
;
Echocardiography
;
Female
;
Heart Atria
;
diagnostic imaging
;
pathology
;
Humans
;
Kidney Neoplasms
;
complications
;
pathology
;
surgery
;
Leiomyomatosis
;
complications
;
pathology
;
surgery
;
Thromboembolism
;
diagnostic imaging
;
drug therapy
;
etiology
;
Treatment Outcome
;
Uterine Neoplasms
;
complications
;
pathology
;
surgery
7.Leiomyomatosis peritonealis disseminata presenting as omental torsion.
Chjoong Howe Alvin TAN ; Bernard Chi Shern HO ; Vishalkumar SHELAT ; Cher Heng TAN
Singapore medical journal 2012;53(4):e71-3
Leiomyomatosis peritonealis disseminata is usually asymptomatic or mimics widespread malignancy; acute presentation is rare. We describe a patient with right iliac fossa and lower abdominal pain. Two masses were detected via computed tomography, but at surgery, one of these implanted leiomyomas had undergone acute omental torsion. This case illustrates a rare complication of omental leiomyoma torsion clinically mimicking acute appendicitis.
Adult
;
Diagnosis, Differential
;
Female
;
Humans
;
Leiomyomatosis
;
complications
;
diagnosis
;
Omentum
;
pathology
;
Peritoneal Neoplasms
;
complications
;
diagnosis
;
Tomography Scanners, X-Ray Computed
;
Torsion Abnormality
;
etiology
;
surgery
8.Wolffian adnexal tumor: report of a case.
Ren-qiao LIU ; Zhen-huan ZHANG ; Min-hong PAN ; Zhi-hong ZHANG ; Qin-he FAN
Chinese Journal of Pathology 2013;42(7):476-477
Adenoma
;
metabolism
;
pathology
;
surgery
;
ultrastructure
;
Adnexa Uteri
;
pathology
;
surgery
;
Adnexal Diseases
;
metabolism
;
pathology
;
surgery
;
Carcinoma, Endometrioid
;
metabolism
;
pathology
;
Diagnosis, Differential
;
Female
;
Granulosa Cell Tumor
;
metabolism
;
pathology
;
Humans
;
Hysterectomy
;
Keratins
;
metabolism
;
Leiomyomatosis
;
pathology
;
surgery
;
Microscopy, Electron
;
Middle Aged
;
Neoplasms, Multiple Primary
;
metabolism
;
pathology
;
surgery
;
ultrastructure
;
Sertoli-Leydig Cell Tumor
;
metabolism
;
pathology
;
Uterine Neoplasms
;
pathology
;
surgery
;
Vimentin
;
metabolism
;
WT1 Proteins
;
metabolism
9.Surgical Treatment Strategies of Intravenous Leiomyomatosis withRight Cardiac Cavities Extension.
Guo-Tao MA ; Qi MIAO ; Xing-Rong LIU ; Chao-Ji ZHANG ; Yue-Hong ZHENG ; Jiang SHAO ; Ning-Hai CHENG ; Shun-da DU ; Jian-Zhou LIU ; Chao JIANG
Acta Academiae Medicinae Sinicae 2016;38(4):438-443
Objective To investigate the diagnosis and surgical treatment strategies of intravenous leiomyomatosis(IVL)extending through inferior vena cava into the right cardiac cavities. Methods Thirty patients of IVL extending through inferior vena cava into the right cardiac cavities were treated in Peking Union Medical College Hospital from November 2002 to January 2015.The following variables were studied: age,cardiopulmonary bypass time,deep hypothermic circulatory arrest time,origins of IVL,blood loss,duration of post-operative hospital stay,hospitalization expenses,edema of lower extremity,blood transfusion,postoperative complication,residual IVL,and re-grow or recurrence. Results Thirteen of 30 patients reported double lower limb edema. The cardiopulmonary bypass was applied in 27 cases,and the average duration of cardiopulmonary bypass was(106.9±53.7)min. Then,21 patients were treated with the deep hypothermic circulatory arrest,and the mean time was(28.2±11.6) min. The tumors originated from the genital veins in 9 cases,the iliac vein in 13 cases,and both veins in 8 cases. The average intra-operative blood loss volume was (2060.5±2012.3)ml,and 21 patients received blood transfusion. The average hospitalization time was(18.9±8.3)days and the average hospitalization expenses was (80 840.4±28 264.2)RMB yuan. While 14 patients had postoperative complications,there was no serious postoperative complication or death.All patients have shown a favorable outcome.Conclusions Tumor embolus extending through inferior vena cava into the right cardiac cavities should be suspected in patients with multiple hysteromyoma. Successful therapy for IVL with right cardiac cavities extension is dependent on reasonable surgical treatment strategies. Surgical removal of the ovaries is vital to avoid IVL re-grow or recurrence.
Cardiopulmonary Bypass
;
Circulatory Arrest, Deep Hypothermia Induced
;
Female
;
Heart Neoplasms
;
surgery
;
Humans
;
Leiomyomatosis
;
surgery
;
Length of Stay
;
Neoplasm Recurrence, Local
;
Ovary
;
Postoperative Complications
;
Vascular Neoplasms
;
surgery
;
Veins
;
pathology
;
Vena Cava, Inferior
;
pathology
10.Cystic solitary fibrous tumor: report of a case.
Chinese Journal of Pathology 2009;38(12):844-845
Antigens, CD34
;
metabolism
;
Cysts
;
metabolism
;
pathology
;
surgery
;
Diagnosis, Differential
;
Female
;
Follow-Up Studies
;
Gastrointestinal Stromal Tumors
;
metabolism
;
pathology
;
Humans
;
Hysterectomy
;
methods
;
Leiomyomatosis
;
metabolism
;
pathology
;
surgery
;
Mesothelioma, Cystic
;
metabolism
;
pathology
;
Middle Aged
;
Pelvic Neoplasms
;
metabolism
;
pathology
;
surgery
;
Solitary Fibrous Tumors
;
metabolism
;
pathology
;
surgery
;
Uterine Neoplasms
;
metabolism
;
pathology
;
surgery
;
Vimentin
;
metabolism