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Correspondence
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Volume 333:1013-1014 October 12, 1995 Number 15
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Extension of a Pelvic Tumor into the Right Atrium

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To the Editor: Secondary localization of intrathoracic tumors in the heart is often due to metastatic spread or neoplastic infiltration of veins. Renal, adrenal, and hepatic carcinomas as well as leiomyomas of the uterus can also reach the heart through the inferior vena cava. Fewer than 100 cases of intraluminal extension of benign smooth-muscle tumors into uterine and pelvic veins have been reported,1 and fewer than 30 cases of intracardiac leiomyomatosis have appeared in the literature.2

We describe a 39-year-old woman without any previous disease, who was admitted for positional syncope that occurred when she bent forward. The same symptoms . . . [Full Text of this Article]

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