He J, Chen ZB, Wang SM, Liu MB, Li ZG, Li HY, Zhao G. Intravenous leiomyomatosis with different surgical approaches: Three case reports. World J Clin Cases 2019; 7(3): 347-356 [PMID: 30746376 DOI: 10.12998/wjcc.v7.i3.347]
Corresponding Author of This Article
Gang Zhao, PhD, Chief Doctor, Department of Vascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, No. 106, Zhongshan Er Road, Yuexiu District, Guangzhou 510080, Guangdong Province, China. zgang4026@sina.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2019; 7(3): 347-356 Published online Feb 6, 2019. doi: 10.12998/wjcc.v7.i3.347
Intravenous leiomyomatosis with different surgical approaches: Three case reports
Jie He, Zheng-Bo Chen, San-Ming Wang, Mu-Biao Liu, Zhi-Gang Li, Hai-Yan Li, Gang Zhao
Jie He, Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China
Zheng-Bo Chen, San-Ming Wang, Gang Zhao, Department of Vascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China
Mu-Biao Liu, Zhi-Gang Li, Hai-Yan Li, Department of Gynecology and Obstetrics, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China
Author contributions: All authors contributed to collecting data, writing, and revising the manuscript; Zhao G was responsible for the patients’ surgical treatment; Liu MB, Li ZG, and Li HY were part of the surgical team; He J drafted the manuscript; Chen ZB searched the references for this manuscript; All authors have read and approved the final manuscript.
Informed consent statement: All patients gave their informed consent.
Conflict-of-interest statement: All authors declared that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist-2016.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Gang Zhao, PhD, Chief Doctor, Department of Vascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, No. 106, Zhongshan Er Road, Yuexiu District, Guangzhou 510080, Guangdong Province, China. zgang4026@sina.com
Telephone: +86-13268268728
Received: November 5, 2018 Peer-review started: November 5, 2018 First decision: November 27, 2018 Revised: December 6, 2018 Accepted: December 14, 2018 Article in press: December 15, 2018 Published online: February 6, 2019 Processing time: 87 Days and 0.7 Hours
Abstract
BACKGROUND
Intravenous leiomyomatosis (IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.
CASE SUMMARY
Here we report three cases of IVL treated with different surgical approaches. All patients presented with circulation symptoms. Two patients had lower extremity edema and the other had cardiopalmus. The diagnosis of IVL was confirmed based on the imagining examinations and pathological findings. All patients underwent surgical treatment and were discharged without any complications.
CONCLUSION
Preoperative examination is crucial for surgical planning and surgical approach is dependent on the patient’s condition and tumor involvement.
Core tip: Intravenous leiomyomatosis is a rare tumor that requires surgical treatment by a multidisciplinary team. We present three cases of IVL treated with different surgical approaches, including one-stage, two-stage, and minimally-invasive surgery. We describe our experience and difficulties in the surgery in order to guide fellow surgeons in treating this rare disease.
