Reis Soares Raquel, Ferber Drumond Leonardo, Soares da Mata Daniel, Miraglia Firpe Luiza, Tavares Mendonça Garretto João Victor, Ferber Drumond Matheus
Biocor Institute, Brazilian Society of Anesthesiology, Brazil.
Biocor Institute, Brazilian Society of Cardiac Surgery, Brazil.
Int J Surg Case Rep. 2020;77:647-650. doi: 10.1016/j.ijscr.2020.11.095. Epub 2020 Nov 21.
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.
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.
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.
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.
转移性肿瘤在心脏腔内生长并不常见。子宫良性转移性平滑肌瘤（BML）转移至心脏极为罕见。它影响有子宫平滑肌瘤病史的绝经前女性。
我们报告一例42岁女性病例，该患者因平滑肌瘤病行子宫切除术后两年，心脏右侧出现三个肿瘤。心脏肿瘤被切除，诊断为子宫平滑肌瘤。
患者因心脏右侧的三个肿块出现心力衰竭。BML累及心脏通常无症状且罕见。心脏肿块通过手术切除，同时检测到并切除了一个卵巢旁肿块。尽管组织学上为良性，但BML具有转移特性。
这表明当女性患者出现心脏内肿块且有子宫切除病史时，应将BML纳入鉴别诊断。
