Leiomiomatosis intravenosa de localización cervicovaginal

La leiomiomatosis intravenosa (LIV) es una patologia poco frecuente caracterizada por la presencia de musculo liso en las venas miometriales del cuerpo uterino. Se presenta un caso de LIV limitado a cuello uterino y manguito vaginal. Se realizo histerectomia total con diagnostico prequirurgico de miomatosis uterina y menometrorragia. El diagnostico de LIV fue anatomopatologico mediante tecnicas de inmunohistoquimica. Si bien el 70 por ciento de las pacientes con LIV pueden ser curadas con cirugia, en un 30 por ciento de los casos existe persistencia o recurrencia a distancia de la enfermedad. En nuestro caso los controles a treinta meses de la cirugia fueron negativos e incluyeron estudios cardiovasculares, pulmonares, hepaticos y cerebrales. Intravenous leiomyomatosis (IVL) cervicovaginal is an uncommon pathology, characterized by the presence of sooth muscle in the myometrial veins of the uterine body. A case of IVL is reported, limited to the cervix uteri and the vaginal muff. A total hysterctomy was performed, with presurgical diagnosis of uterine myomatosis and menometrorrhagia. The diagnosis of IVL was performed by clinicopathological analysis and by immunohistochemistry techniques. Although the 70 percent of the patients with IVL can be cured by surgery, in a 30 percentof the cases, there exists persistence and recurrency at distancy from the disease. In our case, the controls after 30 months since surgery were negatives, and included cardiovascular, pulmonary, hepatic and cerebral studies.