ONE-STAGE SIMULTANEOUS SURGERY FOR MYXOID LEIOMYOMA WITH DISSEMINATED INTRAVENOUS LEIOMYOMATOSIS: A CLINICAL CASE


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Abstract

Background. Intravenous leiomyomatosis is a rare neoplastic condition characterized by the benign intravascular proliferation of smooth muscle cells originating from any of the uterine vein walls, uterine leiomyoma that is fraught with the risk of thromboembolism and secondary metastases in addition to that of recurrence and malignization. Case report. There is a case of a 49-year-old patient with myxoid leiomyoma and intravenous disseminated leiomyomatosis. During extracorporeal circulation and circulatory arrest, the investigators simultaneously resected the tumor from the right atrium (RA) and inferior vena cava, extirpated the uterus with appendages, and removed the left ovarian vein and greater omentum. The paper gives the data of the patient’s management within three years after surgery. It presents and analyzes the whole scanty thematic literature available to us at the time of writing this paper. The efficiency and safety of one-stage simultaneous treatment for uterine leiomyomatosis with intravascular proliferation into RA are shown. Conclusion. The described clinical case demonstrates the efficiency and safety of one-stage simultaneous treatment for uterine leimyomatosis with intravascular proliferation into RA.

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About the authors

Alexander V. Bogachev-Prokofiev

Email: a_bogachev@meshalkin.ru
Ph.D. Head of the Center of New Surgical Technologies, E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Ministry of Health of Russia. 630055, Russia, Novosibirsk, Rechkunovskaya str. 15

Alexander S. Kudryavtsev

Email: a_kudrjavtsev@meshalkin.ru
MD, oncologist of the Department of Oncology and Radiotherapy, E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Ministry of Health of Russia 630055, Russia, Novosibirsk, Rechkunovskaya str. 15

Andrey V. Sapegin

Email: a_sapegin@meshalkin.ru
trainee researcher of the Center of New Surgical Technologies, E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Ministry of Health of Russia 630055, Russia, Novosibirsk, Rechkunovskaya str. 15

Evgeny V. Lenko

Email: Lenko@meshalkin.ru
Ph.D., Senior Research Fellow, Center of New Surgical Technologies, E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Ministry of Health of Russia. 630055, Russia, Novosibirsk, Rechkunovskaya str. 15

Mikhail A. Ovcharov

Email: m_ovcharov@meshalkin.ru
trainee researcher of the Center of New Surgical Technologies, E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Ministry of Health of Russia. 630055, Russia, Novosibirsk, Rechkunovskaya str. 15

Anton P. Subbotovskiy

Email: a_subbotovsky@meshalkin.ru
doctor anesthesiologist, Department of Anesthesiology and Resuscitation, E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Ministry of Health of Russia. 630055, Russia, Novosibirsk, Rechkunovskaya str. 15

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