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Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series
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| Zeitschriftentitel: | Journal of International Medical Research |
|---|---|
| Personen und Körperschaften: | , , , , , , , , |
| In: | Journal of International Medical Research, 47, 2019, 7, S. 3465-3474 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
SAGE Publications
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| Schlagwörter: |
| author_facet |
Luo, Guangze Pan, Hongrui Bi, Jiaxue Luo, Yudong Zhu, Jiechang Feng, Zhou Fan, Hailun Zhang, Yiwei Dai, Xiangchen Luo, Guangze Pan, Hongrui Bi, Jiaxue Luo, Yudong Zhu, Jiechang Feng, Zhou Fan, Hailun Zhang, Yiwei Dai, Xiangchen |
|---|---|
| author |
Luo, Guangze Pan, Hongrui Bi, Jiaxue Luo, Yudong Zhu, Jiechang Feng, Zhou Fan, Hailun Zhang, Yiwei Dai, Xiangchen |
| spellingShingle |
Luo, Guangze Pan, Hongrui Bi, Jiaxue Luo, Yudong Zhu, Jiechang Feng, Zhou Fan, Hailun Zhang, Yiwei Dai, Xiangchen Journal of International Medical Research Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series Biochemistry (medical) Cell Biology Biochemistry General Medicine |
| author_sort |
luo, guangze |
| spelling |
Luo, Guangze Pan, Hongrui Bi, Jiaxue Luo, Yudong Zhu, Jiechang Feng, Zhou Fan, Hailun Zhang, Yiwei Dai, Xiangchen 0300-0605 1473-2300 SAGE Publications Biochemistry (medical) Cell Biology Biochemistry General Medicine http://dx.doi.org/10.1177/0300060519858021 <jats:sec><jats:title>Objective</jats:title><jats:p> This study was performed to investigate the surgical treatment of intravenous leiomyomatosis involving the right heart. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> The clinical data of five patients with intracardiac leiomyomatosis treated from April 2002 to October 2017 at a single center were retrospectively analyzed. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> All five patients underwent successful intravenous and right atrial tumor removal via abdominal and inferior vena cava incisions. In three patients, these incisions were combined with thoracotomy and a right atrial incision, and in two patients, they were combined with uterine and bilateral fallopian tube and ovarian resection. One patient with advanced disease underwent a one-stage procedure and died thereafter. Of the remaining four patients who underwent follow-up for 1.5 to 12.0 years, one developed recurrence at 1 year postoperatively. The recurrent tumor, which was pathologically confirmed to be an intravenous leiomyoma, was removed via inferior vena cava and internal iliac vein incisions without subsequent recurrence. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> The main treatment goal for inferior vena cava leiomyomas involving the right heart is to first address the severe obstruction of cardiac blood flow and then pursue second-stage surgery. Concurrent thoracotomy appears unnecessary because moderately sized right heart tumors can be gently removed via the inferior vena cava. </jats:p></jats:sec> Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series Journal of International Medical Research |
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| title |
Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_unstemmed |
Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_full |
Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_fullStr |
Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_full_unstemmed |
Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_short |
Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_sort |
surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| topic |
Biochemistry (medical) Cell Biology Biochemistry General Medicine |
| url |
http://dx.doi.org/10.1177/0300060519858021 |
| publishDate |
2019 |
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3465-3474 |
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<jats:sec><jats:title>Objective</jats:title><jats:p> This study was performed to investigate the surgical treatment of intravenous leiomyomatosis involving the right heart. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> The clinical data of five patients with intracardiac leiomyomatosis treated from April 2002 to October 2017 at a single center were retrospectively analyzed. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> All five patients underwent successful intravenous and right atrial tumor removal via abdominal and inferior vena cava incisions. In three patients, these incisions were combined with thoracotomy and a right atrial incision, and in two patients, they were combined with uterine and bilateral fallopian tube and ovarian resection. One patient with advanced disease underwent a one-stage procedure and died thereafter. Of the remaining four patients who underwent follow-up for 1.5 to 12.0 years, one developed recurrence at 1 year postoperatively. The recurrent tumor, which was pathologically confirmed to be an intravenous leiomyoma, was removed via inferior vena cava and internal iliac vein incisions without subsequent recurrence. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> The main treatment goal for inferior vena cava leiomyomas involving the right heart is to first address the severe obstruction of cardiac blood flow and then pursue second-stage surgery. Concurrent thoracotomy appears unnecessary because moderately sized right heart tumors can be gently removed via the inferior vena cava. </jats:p></jats:sec> |
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| author | Luo, Guangze, Pan, Hongrui, Bi, Jiaxue, Luo, Yudong, Zhu, Jiechang, Feng, Zhou, Fan, Hailun, Zhang, Yiwei, Dai, Xiangchen |
| author_facet | Luo, Guangze, Pan, Hongrui, Bi, Jiaxue, Luo, Yudong, Zhu, Jiechang, Feng, Zhou, Fan, Hailun, Zhang, Yiwei, Dai, Xiangchen, Luo, Guangze, Pan, Hongrui, Bi, Jiaxue, Luo, Yudong, Zhu, Jiechang, Feng, Zhou, Fan, Hailun, Zhang, Yiwei, Dai, Xiangchen |
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| description | <jats:sec><jats:title>Objective</jats:title><jats:p> This study was performed to investigate the surgical treatment of intravenous leiomyomatosis involving the right heart. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> The clinical data of five patients with intracardiac leiomyomatosis treated from April 2002 to October 2017 at a single center were retrospectively analyzed. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> All five patients underwent successful intravenous and right atrial tumor removal via abdominal and inferior vena cava incisions. In three patients, these incisions were combined with thoracotomy and a right atrial incision, and in two patients, they were combined with uterine and bilateral fallopian tube and ovarian resection. One patient with advanced disease underwent a one-stage procedure and died thereafter. Of the remaining four patients who underwent follow-up for 1.5 to 12.0 years, one developed recurrence at 1 year postoperatively. The recurrent tumor, which was pathologically confirmed to be an intravenous leiomyoma, was removed via inferior vena cava and internal iliac vein incisions without subsequent recurrence. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> The main treatment goal for inferior vena cava leiomyomas involving the right heart is to first address the severe obstruction of cardiac blood flow and then pursue second-stage surgery. Concurrent thoracotomy appears unnecessary because moderately sized right heart tumors can be gently removed via the inferior vena cava. </jats:p></jats:sec> |
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| spelling | Luo, Guangze Pan, Hongrui Bi, Jiaxue Luo, Yudong Zhu, Jiechang Feng, Zhou Fan, Hailun Zhang, Yiwei Dai, Xiangchen 0300-0605 1473-2300 SAGE Publications Biochemistry (medical) Cell Biology Biochemistry General Medicine http://dx.doi.org/10.1177/0300060519858021 <jats:sec><jats:title>Objective</jats:title><jats:p> This study was performed to investigate the surgical treatment of intravenous leiomyomatosis involving the right heart. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> The clinical data of five patients with intracardiac leiomyomatosis treated from April 2002 to October 2017 at a single center were retrospectively analyzed. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> All five patients underwent successful intravenous and right atrial tumor removal via abdominal and inferior vena cava incisions. In three patients, these incisions were combined with thoracotomy and a right atrial incision, and in two patients, they were combined with uterine and bilateral fallopian tube and ovarian resection. One patient with advanced disease underwent a one-stage procedure and died thereafter. Of the remaining four patients who underwent follow-up for 1.5 to 12.0 years, one developed recurrence at 1 year postoperatively. The recurrent tumor, which was pathologically confirmed to be an intravenous leiomyoma, was removed via inferior vena cava and internal iliac vein incisions without subsequent recurrence. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> The main treatment goal for inferior vena cava leiomyomas involving the right heart is to first address the severe obstruction of cardiac blood flow and then pursue second-stage surgery. Concurrent thoracotomy appears unnecessary because moderately sized right heart tumors can be gently removed via the inferior vena cava. </jats:p></jats:sec> Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series Journal of International Medical Research |
| spellingShingle | Luo, Guangze, Pan, Hongrui, Bi, Jiaxue, Luo, Yudong, Zhu, Jiechang, Feng, Zhou, Fan, Hailun, Zhang, Yiwei, Dai, Xiangchen, Journal of International Medical Research, Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series, Biochemistry (medical), Cell Biology, Biochemistry, General Medicine |
| title | Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_full | Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_fullStr | Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_full_unstemmed | Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_short | Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_sort | surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| title_unstemmed | Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series |
| topic | Biochemistry (medical), Cell Biology, Biochemistry, General Medicine |
| url | http://dx.doi.org/10.1177/0300060519858021 |