PMID- 19656751
OWN - NLM
STAT- MEDLINE
DCOM- 20091222
LR  - 20161021
IS  - 0219-3108 (Electronic)
IS  - 1015-9584 (Linking)
VI  - 32
IP  - 3
DP  - 2009 Jul
TI  - The classification and surgical strategy of intracardiac leiomyomatosis.
PG  - 129-36
LID - 10.1016/S1015-9584(09)60383-3 [doi]
AB  - BACKGROUND: There is a great deal of heterogeneity in the surgical strategy to 
      treat intracardiac leiomyomatosis (ICL), leading to a need to create a 
      theoretical tool to clarify this situation. METHODS: The data of 14 cases of ICL 
      surgically treated in Anzhen Hospital from February 1995 to February 2009 were 
      retrospectively reviewed. A system for classifying ICL was proposed based on four 
      features of the lesion: size of intracardiac component; extent of inferior vena 
      cava (IVC) involvement; venous pathway from uterus to IVC; and laterality of the 
      lesion in the pelvis. The 14 cases of ICL were treated through multiple surgical 
      strategies. RESULTS: There were no operative deaths. The follow-up was 73.1 +/- 
      59.2 months and one patient died from recurrence due to incomplete excision 5 
      months after the primary procedure. The 5-year survival rate calculated through 
      Kaplan-Meier survival curve was 93.16 +/- 4.98%. Of the surviving patients, 13 
      had ICL, 10 were in the New York Heart Association (NYHA) class I, and three were 
      in NYHA class II. CONCLUSION: The surgical treatment of ICL can obtain a good 
      mid- to long-term survival rate and satisfactory heart function, and the proposed 
      classification system for ICL may be helpful to guide the selection of the 
      surgical strategy for ICL, and may serve as the future basis for standardising 
      the reporting of ICL management.
FAU - Gan, Hui-Li
AU  - Gan HL
AD  - Cardiac Surgery Department, Beijing Anzhen Hospital, Capital Medical University, 
      Beijing, China. ganhuili@hotmail.com
FAU - Zhang, Jian-Qun
AU  - Zhang JQ
FAU - Bo, Ping
AU  - Bo P
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Asian J Surg
JT  - Asian journal of surgery
JID - 8900600
SB  - IM
MH  - Adult
MH  - Cohort Studies
MH  - Female
MH  - Heart Neoplasms/classification/pathology/*surgery
MH  - Humans
MH  - Leiomyomatosis/classification/pathology/*surgery
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Young Adult
EDAT- 2009/08/07 09:00
MHDA- 2009/12/23 06:00
CRDT- 2009/08/07 09:00
PHST- 2009/08/07 09:00 [entrez]
PHST- 2009/08/07 09:00 [pubmed]
PHST- 2009/12/23 06:00 [medline]
AID - S1015-9584(09)60383-3 [pii]
AID - 10.1016/S1015-9584(09)60383-3 [doi]
PST - ppublish
SO  - Asian J Surg. 2009 Jul;32(3):129-36. doi: 10.1016/S1015-9584(09)60383-3.