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Surgical management of recurrent leiomyosarcoma in heart.

Kim JD, Kim JS, Hwang TS, Shin JK, Song MG - Korean J Thorac Cardiovasc Surg (2014)

Bottom Line: Leiomyosarcoma may occur anywhere in the body but rarely occurs in the heart or great vessels.Owing to the high rate of metastasis and poor prognosis, a definitive treatment modality for leiomyosarcoma has not yet been suggested.This case study reports the surgical management of the recurrent leiomyosarcoma of the heart and the great vessels in a 63-year-old woman.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Korea.

ABSTRACT
Leiomyosarcoma may occur anywhere in the body but rarely occurs in the heart or great vessels. Leiomyosarcoma may be managed by surgical resection with or without chemotherapy or radiotherapy. Owing to the high rate of metastasis and poor prognosis, a definitive treatment modality for leiomyosarcoma has not yet been suggested. This case study reports the surgical management of the recurrent leiomyosarcoma of the heart and the great vessels in a 63-year-old woman.

No MeSH data available.


Related in: MedlinePlus

(A) Preoperative computed tomography: Leiomyosarcoma in the main pulmonary artery and right pulmonary artery. (B) Postoperative computed tomography: no cardiac mass in the main pulmonary artery and right pulmonary artery.
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Figure 1: (A) Preoperative computed tomography: Leiomyosarcoma in the main pulmonary artery and right pulmonary artery. (B) Postoperative computed tomography: no cardiac mass in the main pulmonary artery and right pulmonary artery.

Mentions: In her chest X-ray, no cardiomegaly was observed, but patchy haziness of the right middle lobe was seen. The cardiac computed tomography (CT) showed a massive amount of thromboembolism in the pulmonary trunk, right pulmonary artery, and left anteromedial basal segment artery (Fig. 1A). Lung cancer, pulmonary infarction, myocardial infarction, and coronary artery disease were not observed. Because of a suspicion of recurrent leiomyosarcoma, a surgical resection was decided upon (preoperative echocardiogram was not carried out). There was no evidence of lung metastasis in CT; therefore, lobectomy of the lung was not considered.


Surgical management of recurrent leiomyosarcoma in heart.

Kim JD, Kim JS, Hwang TS, Shin JK, Song MG - Korean J Thorac Cardiovasc Surg (2014)

(A) Preoperative computed tomography: Leiomyosarcoma in the main pulmonary artery and right pulmonary artery. (B) Postoperative computed tomography: no cardiac mass in the main pulmonary artery and right pulmonary artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3928261&req=5

Figure 1: (A) Preoperative computed tomography: Leiomyosarcoma in the main pulmonary artery and right pulmonary artery. (B) Postoperative computed tomography: no cardiac mass in the main pulmonary artery and right pulmonary artery.
Mentions: In her chest X-ray, no cardiomegaly was observed, but patchy haziness of the right middle lobe was seen. The cardiac computed tomography (CT) showed a massive amount of thromboembolism in the pulmonary trunk, right pulmonary artery, and left anteromedial basal segment artery (Fig. 1A). Lung cancer, pulmonary infarction, myocardial infarction, and coronary artery disease were not observed. Because of a suspicion of recurrent leiomyosarcoma, a surgical resection was decided upon (preoperative echocardiogram was not carried out). There was no evidence of lung metastasis in CT; therefore, lobectomy of the lung was not considered.

Bottom Line: Leiomyosarcoma may occur anywhere in the body but rarely occurs in the heart or great vessels.Owing to the high rate of metastasis and poor prognosis, a definitive treatment modality for leiomyosarcoma has not yet been suggested.This case study reports the surgical management of the recurrent leiomyosarcoma of the heart and the great vessels in a 63-year-old woman.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Korea.

ABSTRACT
Leiomyosarcoma may occur anywhere in the body but rarely occurs in the heart or great vessels. Leiomyosarcoma may be managed by surgical resection with or without chemotherapy or radiotherapy. Owing to the high rate of metastasis and poor prognosis, a definitive treatment modality for leiomyosarcoma has not yet been suggested. This case study reports the surgical management of the recurrent leiomyosarcoma of the heart and the great vessels in a 63-year-old woman.

No MeSH data available.


Related in: MedlinePlus