Published online Feb 6, 2019. doi: 10.12998/wjcc.v7.i3.347
Peer-review started: November 5, 2018
First decision: November 27, 2018
Revised: December 6, 2018
Accepted: December 14, 2018
Article in press: December 15, 2018
Published online: February 6, 2019
Intravenous leiomyomatosis (IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.
Here we report three cases of IVL treated with different surgical approaches. All patients presented with circulation symptoms. Two patients had lower extremity edema and the other had cardiopalmus. The diagnosis of IVL was confirmed based on the imagining examinations and pathological findings. All patients underwent surgical treatment and were discharged without any complications.
Preoperative examination is crucial for surgical planning and surgical approach is dependent on the patient’s condition and tumor involvement.
Core tip: Intravenous leiomyomatosis is a rare tumor that requires surgical treatment by a multidisciplinary team. We present three cases of IVL treated with different surgical approaches, including one-stage, two-stage, and minimally-invasive surgery. We describe our experience and difficulties in the surgery in order to guide fellow surgeons in treating this rare disease.