Surgical Intervention of Undifferentiated Cardiac Sarcoma with Metastases

원격전이된 미분화성 심장육종의 수술치험

  • 신재승 (고려대학교 의료원 구로병원 흉부외과) ;
  • 김학제 (고려대학교 의료원 구로병원 흉부외과) ;
  • 최영호 (고려대학교 의료원 구로병원 흉부외과) ;
  • 김현구 (고려대학교 의료원 구로병원 흉부외과) ;
  • 백만종 (고려대학교 의료원 구로병원 흉부외과)
  • Published : 2000.05.01

Abstract

We report a case of primary undifferentiated cardiac sarcoma. The tumor originated from the left atrial free wall with multi-organ metastases, e.g., lung, and adrenal gland. The patient gradually grew worse with dyspnea and hemoptysis because of the obstructed left atrial outflow. Surgical resection of the left atrial sarcoma was undertaken to save the patient's life, followed by chemotherapy and brain irradiation as adjuvant therapy. The prognosis of cardiac sarcoma with metastases is very poor. However, in patients with hemodynamic instability, surgical intervention could be a therapeutic modality as palliation.

Keywords

References

  1. 한국인에 발병된 원발성 심장종양의 양상 v.3 허승호;김기식;김윤년(등)
  2. J Urol v.123 Surgical approach for removal of renal cell carcinoma estending into the cava and right atrium Novick A;Cosgrove D
  3. Ann Thorac Surg v.59 Intracardiac extension of an intracaval sarcoma of endometrial origin Phillips MR;Bower TC;Orszulak TA;Harmann LC
  4. Jpn Heart J v.36 Long-term results of surgical treatnent of intracardiac tumors: Effectiveness and limitation of surgical treatment Yataka K;Akira F;Kuniyoshi Y(et al)
  5. Int J Cardiol v.40 Primary cardiac sarcomas. A report of three cases and a review of the current literature Tuner A;Batrick N
  6. Chest v.114 Primary cardiac sarcoma; A novel treatment approach Movsas B;Teruya-Feldstein J;Smith J;Glatstein E;Epstein AH