一例新的左心房和右肺肿块是子宫平滑肌肉瘤的非常规转移，并文献复习。

IF 0.8 4区医学 Q4 PATHOLOGY

Indian Journal of Pathology and Microbiology Pub Date : 2023-07-01 DOI:10.4103/ijpm.ijpm_577_21

Tarang Patel, Priyanka Aswal, Ashish Jakhetiya, Virendrakumar Meena, Arun Pandey

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引用次数: 0

摘要

子宫平滑肌肉瘤（ULMS）是一种罕见的恶性肿瘤，起源于子宫肌层平滑肌壁，心脏转移极为罕见。转移到心脏是一个非常不寻常的发现，心房转移更为罕见。在这里，我们报告了一例45岁的女性，她出现呼吸困难和胸腔积液，并有为ULMS做子宫切除术的重要历史。磁共振成像显示左心房肿块被切除，组织病理学和免疫组织化学显示为平滑肌肉瘤转移。转移性ULMS可能很少表现为急性临床表现的左心房肿块。详细的临床病史和准确的诊断对进一步的管理至关重要。

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A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature.

Uterine leiomyosarcoma (ULMS) is a rare malignancy arising from the myometrial smooth muscle wall, and cardiac metastases are extremely rare. Metastasis to the heart is a very unusual finding, and atrial metastasis is even rarer. Here, we report a case of a 45 year old woman who presented with dyspnea and pleural effusion and had a significant history of hysterectomy done for ULMS. Magnetic resonance imaging revealed a left atrial mass, which was resected and revealed to be a metastasis of leiomyosarcoma on histopathology and immunohistochemistry. Metastatic ULMS may rarely present as a left atrial mass with acute clinical presentation. Detailed clinical history and accurate diagnosis are vital for further management.

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来源期刊

Indian Journal of Pathology and Microbiology PATHOLOGY-

CiteScore

1.20

自引率

0.00%

发文量

422

审稿时长

1 months

期刊介绍： The journal will cover studies related to pathology including morbid anatomy, surgical pathology, clinical pathology, diagnostic cytopathology including gynecologic cytology and aspiration cytology, hematology including immuno-hematology and medical microbiology. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews, meta-analysis, letters to the editor and brief communications. Review articles on current topics usually are invited by the editor.