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We present a case of IVL diagnosed on hysterectomy specimen with extension to the inferior vena cava found on follow-up imaging. The patient underwent complete resection with multidisciplinary involvement of Gynaecological Oncology and Vascular Surgery and remains disease free following 12 months of follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2022-253436","type":"journal-article","created":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T10:15:24Z","timestamp":1687169724000},"page":"e253436","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Intravascular leiomyomatosis with extension to the inferior vena cava"],"prefix":"10.1136","volume":"16","author":[{"given":"Jayna-Lee","family":"Garratt","sequence":"first","affiliation":[{"name":"King Edward Memorial Hospital for Women, Subiaco, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silipa","family":"Naiqiso","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital for Women, Subiaco, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe","family":"Hockley","sequence":"additional","affiliation":[{"name":"Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia"},{"name":"Curtin Medical School, Curtin University, Bentley, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ganendra Raj Kader Ali","family":"Mohan","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital for Women, Subiaco, Western Australia, Australia"},{"name":"School of Medicine, University of Notre Dame, Fremantle, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,6,19]]},"reference":[{"key":"2025082711394910000_16.6.e253436.1","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.ajog.2009.06.037","article-title":"Intravenous Leiomyomatosis with Intracardiac extension: a single-institution 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