nach oben

CardioVascular and Interventional Radiology

Erschienen in:

01.02.2007 | CASE REPORT

Leiomyosarcoma of the Uterus with Intravascular Tumor Extension and Pulmonary Tumor Embolism

verfasst von: Douglas K. McDonald, Sanjeeva P. Kalva, Chieh-Min Fan, Aleksandr Vasilyev

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 1/2007

Einloggen, um Zugang zu erhalten

Abstract

We report the case of a 48-year-old woman presenting with recurrent uterine leiomyosarcoma (LMS) associated with right iliac vein and inferior vena cava (IVC) invasion and left lower lobe pulmonary tumor embolus. Because the prognosis and treatment differ from that of thrombotic pulmonary emboli, the differentiating imaging characteristics of intravascular tumor embolism are reviewed. To our knowledge, only two other cases of intravenous uterine leiomyosarcomatosis have been described in the existing literature, and this is the first reported case of the entity with associated intravascular tumor embolism.

Harlow BL, Weiss NS, Lofton S (1986) The epidemiology of sarcomas of the uterus. J Natl Cancer Inst 76:399–402PubMed

Coard KC, Fletcher HM (2002) Leiomyosarcoma of the uterus with a florid intravascular component (“intravenous leiomyosarcomatosis”). Int J Gynecol Pathol 21:182–185PubMedCrossRef

Moorjani N, Kuo J, Ashley S, Hughes G (2005) Intravenous uterine leiomyosarcomatosis with intracardial extension. J Card Surg 20:382–385PubMedCrossRef

Stein PD, Beemath A, Meyers FA, Skaf E, Sanchez J, Olson RE (2006) Incidence of venous thromboembolism in patients hospitalized with cancer. Am J Med 119:60–68PubMedCrossRef

Hatcher PA, Anderson EE, Paulson DF, Carson CC, Robertson JE (1991) Surgical management and prognosis of renal cell carcinoma invading the vena cava. J Urol 145:20–23PubMed

Svane S (1969) Tumor thrombus of the inferior vena cava resulting from renal carcinoma: A report on 12 autopsied cases. Scand J Urol Nephrol 3:245–256PubMed

Norris HJ, Parmley T (1975) Mesenchymal tumors of the uterus. V. Intravenous leiomyomatosis. A clinical and pathologic study of 14 cases. Cancer 36:2164–2178PubMed

Livi L, Paiar F, Shah N, Blake P, Villanucci A, Amunni G, Barca R, Judson I, Lodge N, Meldolesi E, Simontacchi G, Piperno G, Galardi A, Scoccianti S, Biti GP, Harmer C (2003) Uterine sarcoma: Twenty-seven years of experience. Int J Radiat Oncol Biol Phys 57:1366–1373PubMedCrossRef

Burns B, Curry RH, Bell ME (1979) Morphologic features of prognostic significance in uterine smooth muscle tumors: A review of eighty-four cases. Am J Obstet Gynecol 135:109–114PubMed

10.

Ahmed M, Zangos S, Bechstein WO, Vogl TJ (2004) Intravenous leiomyomatosis. Eur Radiol 14:1316–1317PubMed

11.

Goldhaber SZ, Dricker E, Buring JE, Eberlein K, Godleski JJ, Mayer RJ, Hennekens CH (1987) Clinical suspicion of autopsy-proven thrombotic and tumor pulmonary embolism in cancer patients. Am Heart J 114:1432–1435PubMedCrossRef

12.

Kane RD, Hawkins HK, Miller JA, Noce PS (1975) Microscopic pulmonary tumor emboli associated with dyspnea. Cancer 36:1473–1482PubMedCrossRef

13.

Winterbauer RH, Elfenbein IB, Ball WC Jr (1968) Incidence and clinical significance of tumor embolization to the lungs. Am J Med 45:271–290PubMedCrossRef

14.

Chakeres DW, Spiegel PK (1982) Fatal pulmonary hypertension secondary to intravascular metastatic tumor emboli. AJR Am J Roentgenol 139:997–1000PubMed

15.

Crane R, Rudd TG, Dail D (1984) Tumor microembolism: pulmonary perfusion pattern. J Nucl Med 25:877–880PubMed

16.

Fanta CH, Compton CC (1980) Microscopic tumour emboli to the lungs: A hidden cause of dyspnoea and pulmonary hypertension. Thorax 35:794–795PubMedCrossRef

17.

Shepard JA, Moore EH, Templeton PA, McLoud TC (1993) Pulmonary intravascular tumor emboli: Dilated and beaded peripheral pulmonary arteries at CT. Radiology 187:797–801PubMed

Titel: Leiomyosarcoma of the Uterus with Intravascular Tumor Extension and Pulmonary Tumor Embolism
verfasst von: Douglas K. McDonald
Sanjeeva P. Kalva
Chieh-Min Fan
Aleksandr Vasilyev
Publikationsdatum: 01.02.2007
Verlag: Springer-Verlag
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 1/2007
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-006-0118-4

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Leiomyosarcoma of the Uterus with Intravascular Tumor Extension and Pulmonary Tumor Embolism

Abstract

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2007

Spontaneous Rupture of the Hepatic Artery in a Patient with Type 1 Neurofibromatosis Treated by Embolization: A Case Report

Influence of NaCl Concentrations on Coagulation, Temperature, and Electrical Conductivity Using a Perfusion Radiofrequency Ablation System: An Ex Vivo Experimental Study

Quality Assurance Guidelines for Placement of Gastroduodenal Stents

A Survival Analysis of Patients with Malignant Biliary Strictures Treated by Percutaneous Metallic Stenting

Subclavian Artery Occlusion and Pseudoaneurysm Caused by Lung Apex Mucormycosis: Successful Treatment with Transcatheter Embolization

Bare Stent Implantation in Iatrogenic Dissecting Pseudoaneurysm of the Superior Mesenteric Artery

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie