Author/Authors :
Alizade، Kambiz نويسنده Department of Open Heart Surgery School of Medicine, Mashhad University of Medical Sciences , , Maddah، Godratollah نويسنده Department of surgery, School of medicine, Mashhad University of Medical Sciences, Mashhad , , Jafarian، Amir Hosein نويسنده Department of Pathology, School of Medicine, Mashhad University of Medical sciences Mashhad , , Khamene Bagheri، Arash نويسنده Sabzevar University of Medical Science Sabzevar , , Jafarzadeh Esfehani، Reza نويسنده Sabzevar University of Medical Science Sabzevar , , Mirzaeian، Sara نويسنده Department of Obstetrics and Gynecology School of Medicine, Mashhad University of Medical Sciences, Mashhad ,
Abstract :
Leiomyoma is a benign smooth muscle tumor. Intra-venous extensions of these tumors occur due to tumor growth within uterine vein or lymphatic vessels. In rare cases, intracaval and intracardiac extension can also be seen. Clinical suspicion of this disease should become certain by use of imaging techniques. While the treatment is complete resection of the tumor, one or two-stage surgery can be planned for patient depending on tumor extension and patientʹs condition. In this report, a 52-year-old woman with a rare presentation of uterine leiomyoma will be discussed. While the tumor was extended toward right atrium, the patient had nonspecific symptoms. By use of two-stage surgery, separated laparotomy and cardiopulmonary bypass, the tumor was completely removed.