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Ann Thorac Surg 2007;84:644-647
© 2007 The Society of Thoracic Surgeons

Case Reports

One-Stage Surgery of Low-Grade Malignant Intravenous Uterine Leiomyosarcomatosis With Right Atrium Extension

Liang Ma, MD, ShengJun Wu, MD, Yu Zou, MD, WeiDong Li, MD, Liang Gong, MD, Gabrielle Gerelle, MD, YiMing Ni, MD*

Department of Cardiothoracic Surgery, 1st Affiliated Hospital, College of Medicine, ZheJiang University, HangZhou, The People’s Republic of China

Accepted for publication March 19, 2007.

* Address correspondence to Dr Ni, Department of Cardiothoracic Surgery, 1st Affiliated Hospital, College of Medicine, ZheJiang University, HangZhou, 310003, The People’s Republic of China (Email: ni_yiming{at}hotmail.com).

Uterine leiomyosarcoma is a rare and aggressive malignant tumor arising from the smooth muscle cells of the myometrium, which rarely metastasizes to the heart. We report the case of a 49-year-old Chinese woman who underwent a successful one-stage surgical intervention after an initial diagnosis of intravenous uterine leiomyomatosis. However, her postoperative biopsy showed the presence of low-grade malignant uterine leiomyosarcoma with intravenous and right atrium extension. It is our conclusion that surgical resection is the mainstay treatment for this type of condition.






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Copyright © 2007 by The Society of Thoracic Surgeons.