Intravenous leiomyomatosis involving right heart cavity:a report of two cases and literature review
Intravenous leiomyomatosis is a special type of uterine leiomyoma with rare variation.It originates from venous vascular smooth muscle cells or uterine muscle cells.Its clinical incidence rate is low,and it belongs to benign proliferative disease.However,it has a malignant tumor growth mode,which is easy to grow along human vein system,and some of it can affect heart,causing obstruction of different degrees.In serious cases,it can lead to sudden death.Therefore,early diagnosis and accurate assessment can improve survival rate.Clinical manifestations of patients include difficulty breathing,chest tightness,chest pain,bilateral lower limb edema,abdominal distension and pelvic masses.Main diagnoses in-clude localization diagnosis and qualitative diagnosis,imaging examination for localization diagnosis,and pathological examination for qualitative diagnosis.Intervention method and outcome are early surgery and early restoration of normal hemodynamics.Color Doppler ultrasound is a widely promoted ultrasound examination method in clinical practice,which has advantages of non-invasive,safe and high accuracy,and it is well received by patients and their families.If patients with respiratory and circulatory system symptoms,especially those with a history of uterine fibroids,should be highly vigilant about uterine intravenous leiomyomatosis,which is worth further popularization in clinical diagnosis.
Color Doppler ultrasoundIntravenous leiomyomatosisDiagnosis
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