A Myxosarcoma of the Left Atrium of Which Extension in the Left Atrium Was Diagnosed by Transesophageal Echocardiography
10.4326/jjcvs.33.278
- VernacularTitle:経食道心エコー検査にて左房内壁浸潤を診断できた左房粘液肉腫の１例
- Author:
Satoru Suzuki
;
Yasunori Cho
;
Yoshiyuki Haga
;
Toshiyuki Katogi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(4):278-281
- CountryJapan
- Language:Japanese
-
Abstract:
A 60-year-old woman was admitted because of dyspnea and a cough. Computed tomography and transthoracic echocardiography showed a tumor in the left atrium. However, transesophageal echocardiography alone could show the tumor and its extension in the interior wall of the left atrium. Peripheral blood chemistry showed a high CA125 level. The first operation was carried out in order to perform a complete resection of the tumor which was 3.5×4.0×2.0cm, but the interior wall of the left atrium seemed normal. The CA125 level returned to within a normal range 80 days after the first operation. Histopathology showed the tumor had myxomatous changes and ring structure formations, but malignancy was also suspected. Transthoracic echocardiography performed 14 months after the first surgery showed a recurrence of the tumor, and subsequent transesophageal echocardiography showed the tumor and its invasion in the interior wall of the left atrium. A second operation was performed to resect the tumor, which had invaded a part of the left atrial interior wall. The histopathology showed the tumor was myxoid but had mitoses and foci of necroses. This tumor was consistent with a myxosarcoma. The patient died as a result of a recurrent tumor blocking the left atrium 20 months after the first surgery.
