Figure 1 : Hysterectomy specimen-uniformly enlarged uterus with huge myomatous fibroid. ABSTRACT Intravenous leiomyomatosis is a rare benign smooth muscle tumour arising from a venous wall or a uterine leiomyoma. This case highlights that intra-cardiac leiomyomatosis should be considered as a differential diagnosis in addition to extended cancer or thrombus, in female patients, diagnosed with a right sided cardiac mass extending from the IVC. To prevent pulmonary embolism or sudden death in

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... ents with intra-cardiac extension, complete surgical resection is necessary. One stage surgical removal has been recommended for complete resection.