Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report

  • Received : 2015.09.13
  • Accepted : 2016.01.04
  • Published : 2016.04.01
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Abstract

A 48-year-old woman presented with a 50-day history of irregular vaginal bleeding and lower abdominal pain. Ultrasound indicated an extremely large occupying lesion in the pelvic cavity that was highly suggestive of malignancy. Fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) was performed to further assess the nature of pelvic abnormality. PET/CT images demonstrated a diffusely lobulated mass ranging from cervix up to the inferior pole of kidneys with mild FDG uptake. Simultaneously, multiple nodules in bilateral lungs and a hypodense lesion in the right ventricle were shown without FDG-avidity. Based on the imaging results, the presumptive diagnosis was uterine intravenous leiomyomatosis with intracardiac extension and pulmonary benign metastases, which was subsequently confirmed by MRI and the lesion biopsy.

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References

  1. Kocica MJ, Vranes MR, Kostic D, Kovacevic-Kostic N, Lackovic V, Bozic-Mihajlovic V, et al. Intravenous leiomyomatosis with extension to the heart: rare or underestimated? J Thorac Cardiovasc Surg 2005;130:1724-1726 https://doi.org/10.1016/j.jtcvs.2005.08.021
  2. Esmaeilzadeh M, Tavakolli A, Safaei A. Recurrent intracardiac leiomyomatosis. Can J Cardiol 2007;23:1085-1086 https://doi.org/10.1016/S0828-282X(07)70879-6
  3. Harris LM, Karakousis CP. Intravenous leiomyomatosis with cardiac extension: tumor thrombectomy through an abdominal approach. J Vasc Surg 2000;31:1046-1051 https://doi.org/10.1067/mva.2000.104601
  4. Lou YF, Shi XP, Song ZZ. Intravenous leiomyomatosis of the uterus with extension to the right heart. Cardiovasc Ultrasound 2011;9:25 https://doi.org/10.1186/1476-7120-9-25
  5. Xu ZF, Yong F, Chen YY, Pan AZ. Uterine intravenous leiomyomatosis with cardiac extension: imaging characteristics and literature review. World J Clin Oncol 2013;4:25-28 https://doi.org/10.5306/wjco.v4.i1.25
  6. Bodner-Adler B, Bartl M, Wagner G. Intravenous leiomyomatosis of the uterus with pulmonary metastases or a case with benign metastasizing leiomyoma? Anticancer Res 2009;29:495-496
  7. Baboci A, Prifti E, Xhabija N, Alimehmeti M. Surgical removal of an intravenous leiomyoma with intracardiac extension and pulmonary benign metastases. Heart Lung Circ 2014;23:174-176 https://doi.org/10.1016/j.hlc.2013.10.058
  8. Nabi HA, Zubeldia JM. Clinical applications of (18)F-FDG in oncology. J Nucl Med Technol 2002;30:3-9; quiz 10-11
  9. di Scioscio V, Feraco P, Miglio L, Toni F, Malvi D, Pacilli AM, et al. Benign metastasizing leiomyoma of the lung: PET findings. J Thorac Imaging 2009;24:41-44 https://doi.org/10.1097/RTI.0b013e31818a0840
  10. Lin X, Fan W, Lang P, Hu Y, Zhang X, Sun X. Benign metastasizing leiomyoma identified using 18F-FDG PET/CT. Int J Gynaecol Obstet 2010;110:154-156 https://doi.org/10.1016/j.ijgo.2010.03.017

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  1. Benign metastasizing leiomyoma and 18-FDG-PET/CT: A case report and literature review vol.14, pp.3, 2016, https://doi.org/10.3892/ol.2017.6609
  2. Cardiovascular Ultrasonographic Features and Clinical Findings for Intravenous Leiomyomatosis: A Case Report vol.20, pp.1, 2016, https://doi.org/10.5812/ircmj.14579
  3. Intravenous Leiomyomatosis Extending from the Uterus to the Heart vol.3, pp.2, 2016, https://doi.org/10.22468/cvia.2018.00269