Key result
Surgical excision of cardiac benign metastatic leiomyoma shows no reported recurrence in the literature.
Why the study?
Cardiac benign metastatic leiomyoma is a rare, frequently misdiagnosed tumor that can cause embolization, heart failure, and death, requiring heightened clinical awareness.
This review highlights the importance of considering cardiac benign metastatic leiomyoma in the differential diagnosis of cardiac masses, particularly in women with prior uterine leiomyomas, to prevent severe complications.
Encourages inclusion of cardiac benign metastatic leiomyoma in differentials for women with uterine leiomyoma history; leaves open need for prospective registries.
Cardiac benign metastatic leiomyoma (BML) is a rare cardiac tumor that is usually asymptomatic, frequently misdiagnosed and may result in serious complications, including embolization, heart failure and death. This review highlights the importance of considering cardiac BML in the differential diagnosis of cardiac masses, especially in women with a history of uterine leiomyomas. This review summarizes the current knowledge about cardiac BML, including its demographics, clinical presentation, etio-pathogenesis, diagnosis, and management. The authors discuss the challenges associated with diagnosing cardiac BML and emphasize the importance of a thorough history, physical examination, and imaging studies. They also review the different treatment options for cardiac BML, including surgical resection and role of medical and surgical castration. Early diagnosis and management of cardiac BML is crucial to prevent complications. This review provides valuable insights for clinicians who may encounter this rare condition. By raising awareness of cardiac BML and its management strategies, this review can improve patient care and outcomes.
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Garg et al. (2025) conducted a review in Cardiac benign metastatic leiomyoma (n=18). Surgical excision was evaluated on Recurrence after surgical excision. Surgical excision of cardiac benign metastatic leiomyoma is the primary treatment and has not been associated with recurrence in the reported literature.
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