Late intracaval and intracardiac leiomyomatosis following hysterectomy for benign myomas treated by surgery and GnRH agonist.

Abstract:

BACKGROUND:The aim of this study was to report an exceptional case of a patient presenting with intracaval and intracardiac leiomyomatosis treated by combined surgical and medical treatment. CASE:A 48-year-old presented with intracaval and intracardiac leiomyomatosis (IL) discovered 6 years following a total hysterectomy with ovarian conservation for myomas. Surgical resection of the pelvic myomas and intracaval leiomyomatosis was performed during the same surgical procedure. Given the presence of a small tumor residuum in the pelvic cavity, postoperative medical treatment based on a gonadotropin-releasing hormone (GnRH) agonist was delivered for 1 year. The patient was followed-up using clinical examination and systematic CT scan. Ten months following the end of medical treatment, she is still in good health and the pelvic residuum has stabilized. CONCLUSIONS:Patients with pelvic tumor combined with IL could be treated using a one-stage surgical procedure. In cases of incomplete surgical resection, medical treatment based on GnRH agonist could be successfully delivered.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Morice P,Chapelier A,Dartevelle P,Castaigne D,Lhommé C

doi

10.1006/gyno.2001.6389

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

422-3

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(01)96389-9

journal_volume

83

pub_type

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