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Leiomyosarcoma of the Uterus with Intravascular Tumor Extension and Pulmonary Tumor Embolism

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Abstract

We report the case of a 48-year-old woman presenting with recurrent uterine leiomyosarcoma (LMS) associated with right iliac vein and inferior vena cava (IVC) invasion and left lower lobe pulmonary tumor embolus. Because the prognosis and treatment differ from that of thrombotic pulmonary emboli, the differentiating imaging characteristics of intravascular tumor embolism are reviewed. To our knowledge, only two other cases of intravenous uterine leiomyosarcomatosis have been described in the existing literature, and this is the first reported case of the entity with associated intravascular tumor embolism.

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Authors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital, Boston, MA, 02114, USA

    Douglas K. McDonald, Sanjeeva P. Kalva & Chieh-Min Fan

  2. Department of Pathology, Massachusetts General Hospital, Boston, MA, 02114, USA

    Aleksandr Vasilyev

  3. Department of Radiology, Sanjeeva P. Kalva, GRB-290, 55 Fruit Street, Boston, MA, 02114, USA

    Sanjeeva P. Kalva

Authors
  1. Douglas K. McDonald
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  2. Sanjeeva P. Kalva
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  3. Chieh-Min Fan
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  4. Aleksandr Vasilyev
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Correspondence to Sanjeeva P. Kalva.

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McDonald, D.K., Kalva, S.P., Fan, CM. et al. Leiomyosarcoma of the Uterus with Intravascular Tumor Extension and Pulmonary Tumor Embolism. Cardiovasc Intervent Radiol 30, 140–142 (2007). https://doi.org/10.1007/s00270-006-0118-4

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  • DOI: https://doi.org/10.1007/s00270-006-0118-4

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