Uterine Intravenous Leiomyomatosis with Internal Iliac Artery Involvement

In atypical cases of IVL with arterial involvement, surgical complexity is substantially greater than in venous disease, as arterial invasion complicates vascular dissection and hinders complete clearance. This increases the risk of recurrence and may negatively influence long-term prognosis. In the present case, laparoscopic resection allowed precise vascular control, minimized surgical trauma, and facilitated recovery. Early diagnosis, radical excision, and continued surveillance remain essential for optimizing outcomes.

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Publication Details

Journal
International Journal of Women s Health
Published
2025-10-01
DOI
https://doi.org/10.2147/ijwh.s549134
Primary Topic
Uterine Myomas and Treatments
Type
article
Field-Weighted Citation Impact
0.00

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article

Uterine Intravenous Leiomyomatosis with Internal Iliac Artery Involvement

Buyi Zhang, Meizheng Dang, Pintong Huang, Lili Zhang et al.
International Journal of Women s Health
Uterine Myomas and Treatments
article

Uterine Intravenous Leiomyomatosis with Internal Iliac Artery Involvement

Buyi Zhang, Meizheng Dang, Pintong Huang, Lili Zhang, Wen Xu, Jin Yao, Shangwen Cai
article en

Abstract

In atypical cases of IVL with arterial involvement, surgical complexity is substantially greater than in venous disease, as arterial invasion complicates vascular dissection and hinders complete clearance. This increases the risk of recurrence and may negatively influence long-term prognosis. In the present case, laparoscopic resection allowed precise vascular control, minimized surgical trauma, and facilitated recovery. Early diagnosis, radical excision, and continued surveillance remain essential for optimizing outcomes.

International Journal of Women s HealthVol. Volume 17
Zhejiang Institute of Mechanical and Electrical Engineering (CN), Second Affiliated Hospital of Zhejiang University (CN), Zhejiang University (CN)
National Natural Science Foundation of China, Natural Science Foundation of Zhejiang Province
Openalex Percentile: Top 62%
Uterine Myomas and Treatments
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