A case of huge intravenous leiomyomatosis with intracardiac extension

We present a case of a 48-year-old woman with huge intravenous leiomyomatosis with intracardiac extension, who did not have heart failure nor obstructive symptoms except abdominal distension with palpable mass. She underwent surgery by a one-stage surgical approach and postoperatively prescribed with GnRH agoinst as hormonal therapy. Patients with intravenous leiomyomatosis need long-term observation because of the high recurrence rate of the tumor.