P. Morice et al., Late intracaval and intracardiac leiomyomatosis following hysterectomy forbenign myomas treated by surgery and GnRH agonist, GYNECOL ONC, 83(2), 2001, pp. 422-423
Background. The aim of this study was to report an exceptional case of a pa
tient presenting with intracaval and intracardiac leiomyomatosis treated by
combined surgical and medical treatment.
Case. A 48-year-old presented with intracaval and intracardiac leiomyomatos
is (IL) discovered 6 years following a total hysterectomy with ovarian cons
ervation for myomas. Surgical resection of the pelvic myomas and intracaval
leiomyomatosis was performed during the same surgical procedure. Given the
presence of a small tumor residuum in the pelvic cavity, postoperative med
ical treatment based on a gonadotropin-releasing hormone (GnRH) agonist was
delivered for 1 year. The patient was followed-up using clinical examinati
on and systematic CT scan. Ten months following the end of medical treatmen
t, she is still in good health and the pelvic residuum has stabilized.
Conclusions. Patients with pelvic tumor combined with IL could be treated u
sing a one-stage surgical procedure. In cases of incomplete surgical resect
ion, medical treatment based on GnRH agonist could be successfully delivere
d. (C) 2001 Academic Press.