A Case of Resected Cardiac Metastasis of Liposarcoma.
10.4326/jjcvs.28.128
- VernacularTitle:転移性心臓腫ようの一手術例
- Author:
Naoki Hashiyama
;
Hirokazu Kajiwara
;
Katunori Hirano
;
Yoshihiro Iwai
;
Toshiyuki Hamada
;
Sunao Satoh
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(2):128-131
- CountryJapan
- Language:Japanese
-
Abstract:
Metastasis to the heart is not so rare, but it is not diagnosed easily during patient's lifetime because clinical symptoms are not related to the nature of the tumor. We present a rare case of resection of cardiac metastasis of liposarcoma. A 37-year-old man suffered from dyspnea on effort was given a diagnosis of heart failure. He had already suffered from primary liposarcomas of the right heel which had been resected at age 28 and 32. Echocardiography revealed pericardial effusion and a tumor exiting from the apex. The mass grew rapidly and was excised using a cardiopulmonary bypass. The pathophysiological diagnosis was metastatic liposarcoma to the heart. The surgical margins of tumor were positive and cancer cells were exposed on the epicardial surfaces on some places. Adjuvant chemotherapy was therefore performed for 6 months. The patient was discharged after a good post-operative course and has been in good health for 40 months since the operation. Despite the generally poor prognosis of metastatic liposarcoma to the heart, combination of surgical treatment and chemotherapy yield a long period of survival in this case. It is important not only to establish the therapeutic strategy for metastatic tumor to the heart but also to detect it at an early stage.
