Evidence map›Paper›PMID 42181956›Full record

ArticleRadiology case reports2026

Intravascular extension of uterine sarcoma: A rare presentation mimicking venous thromboembolism.

Amal Akammar, Younes Abdourabbih, Ismail Oughebbi, Hajjar Ouazzani Chahdi, Layla Tahiri Ousrouti, Ismail Chaouch, Nizar El Bouardi, Meriem Haloua, Badreeddine Alami, Moulay Youssef Alaoui Lamrani and 2 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Amal AkammarMother and Child Radiology Department, Hassan II University Hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Younes AbdourabbihMother and Child Radiology Department, Hassan II University Hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Ismail OughebbiDepartment of Cardiovascular Surgery, Hassan II University Hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Hajjar Ouazzani ChahdiMother and Child Radiology Department, Hassan II University Hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Layla Tahiri OusroutiAnatomopathological Laboratory Department, Hassan II University Hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Ismail ChaouchDepartment of Central Radiology, Hassan II University hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Nizar El BouardiDepartment of Central Radiology, Hassan II University hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Meriem HalouaMother and Child Radiology Department, Hassan II University Hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Badreeddine AlamiDepartment of Central Radiology, Hassan II University hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Moulay Youssef Alaoui LamraniDepartment of Central Radiology, Hassan II University hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Mustapha MaaroufiDepartment of Central Radiology, Hassan II University hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Meriem BoubbouMother and Child Radiology Department, Hassan II University Hospital Fez, Sidi Mohamed Ben Abdallah University, Fez, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine leiomyosarcoma (ULMS) is a highly aggressive mesenchymal malignancy. While hematogenous spread is common, malignant intravenous leiomyosarcomatosis (IVLS) with extension into the heart is an exceptional and life-threatening phenomenon that presents significant diagnostic and therapeutic challenges. A 57-year-old postmenopausal woman presented with a voluminous pelvic mass. Initial MRI identified a high-grade ULMS with extensive local invasion and tumor thrombosis of the left ovarian vein. Following neoadjuvant chemoradiotherapy and total hysterectomy, the patient developed acute respiratory distress. Emergency echocardiography and CT angiography revealed a massive tumor thrombus extending from the iliac veins and inferior vena cava (IVC) into the right atrium, complicated by bilateral lobar pulmonary embolism. Despite an emergency beating-heart thrombectomy and intensive care support, the patient succumbed to refractory cardiogenic shock. This case underscores the critical role of multi-parametric MRI and CT angiography in identifying malignant intravascular extension. Differentiating tumor thrombi from bland venous thromboembolism is essential, as IVLS requires aggressive, multidisciplinary surgical management. Systematic vascular screening should be mandatory in cases of aggressive uterine malignancies to prevent fatal embolic events.

Indexed as

Computed tomographyInferior vena cavaIntracardiac extensionIntravenous leiomyomatosisPulmonary embolismUterine leiomyosarcoma

Identifiers

PMID42181956
PMCPMC13196346

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