Myomectomy for intravenous leiomyomatosis: Case series
The best treatment options for intravenous leiomyomatosis (IVL) are hysterectomy with bilateral salpingo-oophorectomy and complete resection of intravenous extensions of the disease.

The current study aimed to evaluate the clinical outcomes of patients with intravenous leiomyomatosis (IVL) who underwent myomectomy.

Clinical data were retrieved from our database. Of 197 patients with IVL, 9 patients were included. The patients’ age ranged from 24 to 46 years. Five patients had not yet given birth upon IVL diagnosis. Three patients were treated with gonadotropin-releasing hormone agonists after surgery.

The average follow-up time was 58.9±27.8 months. Four patients presented with new uterine masses during follow-up. Three patients had natural pregnancies and live births.

This information may provide a glimmer of hope to young patients with uterus-confined IVL who have fertility desires.

Journal of Obstetrics and Gynaecology
1 share