Key result
Surgical resection successfully treated a 42-year-old woman with rare benign metastasizing leiomyoma presenting as three right-sided cardiac masses two years post-hysterectomy.
Why the study?
Cardiac intracavitary growth of metastasizing tumour is unusual, and benign metastasizing leiomyoma from the uterus to the heart is extremely rare.
Case Report (n=1)
Benign metastasizing leiomyoma is a rare but important differential diagnosis for intracardiac masses in women with a history of uterine leiomyoma.
Alerts clinicians to BML in right-heart masses after hysterectomy; leaves optimal surveillance and therapy open.
INTRODUCTION: Cardiac intracavitary growth of metastasizing tumour is unusual. Benign Metastasizing Leiomyoma (BML) from the uterus to the heart is extremely rare. It affects premenopausal women with a history of uterine leiomyoma. PRESENTATION OF CASE: We report a case of a 42-year-old woman who presented three tumours in the right side of the heart, two years after a hysterectomy due to leiomyomatosis. The cardiac tumours were resected and the diagnosis was uterine leiomyoma. DISCUSSION: The patient developed cardiac failure due to three masses at the right side of the heart. Cardiac involvement in BML is usually asymptomatic and rare. The heart masses were surgically removed and a peri ovarian mass was detected and also removed. Although histologically benign, BML exhibits metastatic qualities. CONCLUSION: It suggests that BML should be included as a differential diagnosis when a female patient presents an intra cardiac mass and a history of hysterectomy.
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Soares et al. (2020) conducted a case report in Benign Metastasizing Leiomyoma (n=1). Surgical resection was evaluated. Surgical resection successfully treated a 42-year-old woman with rare benign metastasizing leiomyoma presenting as three right-sided cardiac masses two years post-hysterectomy.
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