Single-stage inferior vena caval intravenous leiomyomatosis excision

Intravascular tumour extension can occur in many different types of cancer. Those with the highest tendency include renal cell carcinoma, adrenal cortical carcinoma and hepatocellular carcinoma. Inferior vena cava (IVC) tumour thrombus in gynaecological malignancy is rarely reported. We present a re...

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Bibliographic Details
Main Authors: Karthigesu Aimanan, Kean, Leong Koay, Mohd Firdaus Mohd Hayati, Hafizan Mohd Tajri
Format: Article
Language:English
English
Published: BMJ Publishing Group 2022
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/34293/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/34293/2/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/34293/
https://casereports.bmj.com/content/bmjcr/15/8/e250261.full.pdf
http://dx.doi.org/10.1136/bcr-2022-250261
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Summary:Intravascular tumour extension can occur in many different types of cancer. Those with the highest tendency include renal cell carcinoma, adrenal cortical carcinoma and hepatocellular carcinoma. Inferior vena cava (IVC) tumour thrombus in gynaecological malignancy is rarely reported. We present a report on a female patient with extensive IVC tumour thrombus (intravenous leiomyomatosis) with concurrent intrauterine leiomyomatosis. She underwent a single-stage procedure, involving laparotomy and a sternotomy to remove her pelvic tumour, as well as the intracaval and intracardiac thrombus. The clinical presentation and management of this rare tumour will be detailed in this case report.