Clinical Report: Intravenous Leiomyomatosis Presenting as a Cardiac Tumor
Overview
This report details a case of intravenous leiomyomatosis (IVL) in a 45-year-old woman presenting with chest tightness, initially misdiagnosed as a cardiac mass. Multimodal imaging confirmed IVL extending from pelvic veins to the right atrium, highlighting the importance of accurate diagnosis and treatment.
Background
Intravenous leiomyomatosis is a rare benign smooth muscle tumor that predominantly affects middle-aged women. Its presentation as a cardiac mass is particularly uncommon, often leading to misdiagnosis and inappropriate treatment. Understanding IVL's clinical and imaging characteristics is crucial for timely and effective management.
Data Highlights
No numerical data or trial data available in the source material.
Key Findings
The patient presented with chest tightness and cough, with a history of irregular menstruation.
Transthoracic echocardiography revealed a mass in the right atrium, initially suggestive of atrial myxoma.
Histopathological examination confirmed the diagnosis of IVL with specific immunohistochemical markers.
Multidisciplinary surgical resection was performed, emphasizing the need for coordinated care in such cases.
Short-term postoperative imaging data are available, with long-term follow-up ongoing.
Clinical Implications
This case underscores the need for healthcare professionals to consider IVL in the differential diagnosis of cardiac masses, particularly in middle-aged women. Accurate imaging and histopathological evaluation are essential for appropriate management and to avoid misdiagnosis.
Conclusion
Intravenous leiomyomatosis can present as a cardiac mass, necessitating careful diagnostic evaluation to ensure timely surgical intervention. Continued follow-up is important due to the potential for recurrence.
