PRIMARY FIBROSARCOMA OF THE HEART
Abstract
Background. Primary tumors of the heart are rare, with an incidence between 0.0017 and 0.27% in reported or collected autopsy series. Near 30% of primary tumors are malignant, among them sarcomas are most frequent. Clinical symptoms are nonspecific: signs of congestive heart failure, chest pain, cough, weakness. Echocardiography is still cornerstone of noninvasive detection of cardiac tumors; other diagnostic techniques are computerized axial tomography and nuclear magnetic resonance. Surgical resection of tumor is the most important way of the treatment of primary malignant cardiac tumors.
Conclusions. In this case report authors describe a 55 years old man with echocardiographicaly diagnosed cardiac tumor. Later, tumor was more precisely assessed by computerized tomography and nuclear magnetic resonance. Because of progression of the tumor and involvement of coronary vessels, the tumor was not suitable for surgical resection. At autopsy, a primary fibrosarcoma of the heart was confirmed.
Downloads
References
2. Knobel B, Rosman P, Kishon Y, Husar M. Intracardiac primary sarcoma. Case report and literature review. Thorac Cardiovasc Surgeon 1992; 40: 227–30.
3. Chomette G, Auriol M, Cabrol C, Tranbaloc P. Les tumeurs malignes primitives du coeur. Ann Med Interne 1985; 136: 301–5.
4. Scheld HH, Hehrlein FW, Kracht J, Fraedrich G. Primare Herztumoren. Med Welt 1982; 136: 709–17.
5. Burke AP, Cowan D, Virmani R. Primary sarcomas of the heart. Cancer 1992; 69: 387–95.
6. Tazelaar HD, Locke TJ, McGregor CGA. Pathology of surgically excised primary cardiac tumors. Mayo Clin Proc 1992; 67: 957–65.
7. Poole GV Jr., Breyer RH, Holliday R et al. Tumors of the heart: surgical considerations. J Cardiovasc Surg 1984; 25: 5–11.
8. Dapper F, Gorlach G, Hoffmann C, Fitz H, Marck P, Scheld HH. Primary cardiac tumors – Clinical experiences and late results in 48 patients. Thorac Cardiovasc Surg 1988; 36: 80–5.
9. Putnam JB Jr., Sweeney MS, Colon R, Lanza LA, Frazier OH, Cooley DA. Primary cardiac sarcomas. Ann Thorac Surg 1991; 51: 906–10.
10. Grande AM, Ragni T, Vigano M. Primary cardiac tumors. A clinical experience of 12 years. Tex Heart Inst J 1993; 20: 223–30.
11. Basso C, Stefani A, Calabrese F, Fasoli G, Valente M. Primary right atrial fibrosarcoma. Diagnosed by endocardial biopsy. Am Heart J 1996; 131: 399– 402.
12. Baldelli P, De Angeli D, Dolara A, Magi Diligenti L, Marchi F, Salvatore L. Primary fibrosarcoma of the heart. Chest 1972; 62: 234–6.
13. Klima T, Milam JD, Bossart MI, Cooley DA. Rare primary sarcomas of the heart. Arch Pathol Lab Med 1986; 110: 1155–9.
14. Linder J, Woodard BH. Primary cardiac fibrosarcoma. South Med J 1985; 78: 607–8.
15. Boggio RR. Primary fibrosarcoma of the heart. Arch Pathol Lab Med 1984; 108: 533–3.
16. Jyothirmayi R, Jacob R, Nair K, Rajan B. Primary fibrosarcoma of the right ventricle – A case report. Acta Oncol 1995; 34: 972–4.
17. Barnes WSF, Craft AW, Hunter AS, Stiller CA. Primary malignant cardiac tumors in children. Pediat Hematol Oncol 1986: 3: 347–51.
18. Goldberg HP, Steinberg J. Primary tumors of the heart. Circulation 1955; 11: 963–3.
19. Ezekowitz MD, Smith EO, Rankin R, Harrison LH, Crous HF. Left atrial mass: diagnostic value of transesofagus 2-dimensional echocardiography and indium-111 patelet scintigraphy. Am J Cardiol 1983; 51: 1563–4.
20. Green SE, Joynt LE, Fitzgerald PJ et al. In vivo ultrasonic tissue characterization of human intracardiac masses. Am J Cardiol 1983; 51: 231–6.
21. Miller H, Keren G, Shapira I et al. Primary angiosarcoma of the heart detected by two-dimensional echocardiography. Isr J Med Sci 1986; 22: 900–2.
22. Goodwin JD, Axel L, Adams JR et al. Computed tomography: a new method for diagnosing tumor of the heart. Circulation 1981; 63: 448–51.
23. Gross BH, Glazer GM, Francis IR. CT of intracardiac and intrapericardial masses. Am J Radiol 1983; 51: 903–7.
24. Steiner RE. Radiologic aspects of cardiac tumors. Am J Cardiol 1968; 21: 344– 56.
25. Reinmuller R, Tiling R. MR and CT for detection of cardiac tumors. Thorac Cardiovasc Surgeon 1990; 38: Suppl II: 168–72.
26. Geha A, Weidman WH, Soule EH et al. Intramural ventricular cardiac fibroma. Successful removal in two cases and review of the literature. Circulation 1967; 36: 427–7.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.