scholarly journals Angiosarcoma of the Left Atrium: A Case Report

2018 ◽  
Vol 07 (01) ◽  
pp. e4-e6
Author(s):  
Georg Schlachtenberger ◽  
Stephen Gerfer ◽  
Axel Kröner ◽  
Thorsten Wahlers

Background Primary cardiac tumors are rare, and many diagnosed tumors are benign with an incidence of 0.001% to 0.03%. The primary angiosarcoma is one of the malignant entities. Discussion We discuss a case report of a 76-year-old male who underwent a preoperative diagnosis for an upcoming shoulder operation when his cardiologist diagnosed a large cardiac tumor. The patient was referred to our department where he received further diagnostics. The transesophageal echocardiography and the cardiac-magnetic resonance imaging showed a massive tumor with a dimension of 8.6 × 5.6 cm with no signs of malignity. Method The operation was performed by standard median sternotomy. The tumor was adherent to the septum and the left atrium, and we were able to remove the specimen in toto. Pathological examinations showed an angiosarcoma with neovascularization and core expression of ERG+ and cytoplasmic expression of CD31+/CD34+, due to the size of the mass. The resection of primary cardiac tumors is mostly the therapy of choice, but in this case concerning an angiosarcoma the prognosis is poor, considering that the angiosarcoma responds very badly to chemotherapy and radiotherapy.

Neurosurgery ◽  
1988 ◽  
Vol 23 (4) ◽  
pp. 490-493 ◽  
Author(s):  
Stephen L. Ondra ◽  
James R. Doty ◽  
Michael E. Mahla ◽  
Eugene D. George

Abstract A 23-year-old pregnant woman presented with sudden diplopia, ataxia, hemiparesis, and headache secondary to a brain stem hemorrhage. Magnetic resonance imaging (MRI) revealed a hematoma associated with a probable cavernous hemangioma of the rostral brain stem. In this report, we discuss the MRI findings leading to the preoperative diagnosis, as well as the surgical techniques involved in the successful resection.


2013 ◽  
Vol 3 ◽  
pp. 34 ◽  
Author(s):  
Thomas J. Ward ◽  
Michael A. Kadoch ◽  
Adam H. Jacobi ◽  
Pablo P. Lopez ◽  
Javier Sanz Salvo ◽  
...  

The differential diagnosis for a cardiac mass includes primary and metastatic neoplasms. While primary cardiac tumors are rare, metastatic disease to the heart is a common finding in cancer patients. Several “tumor-like” processes can mimic a true cardiac neoplasm with accurate diagnosis critical at guiding appropriate management. We present a pictorial essay of the most common benign cardiac masses and “mass-like” lesions with an emphasis on magnetic resonance imaging features.


Neurosurgery ◽  
1991 ◽  
Vol 29 (2) ◽  
pp. 296-300 ◽  
Author(s):  
H.D. Tran-Dinh ◽  
Y.S. Soo ◽  
P. O'Neil ◽  
R. Chaseling

Abstract We report a case of cerebellar schwannoma in a 64-year-old woman. The tumor was defined on computed tomographic and magnetic resonance imaging scans and confirmed on surgery. The solid part of the tumor appeared to be derived from the inferior vermis of the cerebellum, the cystic part extending toward the medulla oblongata and the foramen magnum. The problem of preoperative diagnosis based on magnetic resonance imaging findings is discussed.


2001 ◽  
Vol 125 (7) ◽  
pp. 933-934 ◽  
Author(s):  
Reda S. Saad ◽  
Colleen O. Galvis ◽  
Wiam Bshara ◽  
John Liddicoat ◽  
David J. Dabbs

Abstract Papillary fibroelastomas are rare and benign cardiac tumors that typically affect the cardiac valves. To the best of our knowledge, the English literature contains only 1 case report of pulmonary valve fibroelastoma diagnosed by echocardiogram and confirmed by surgical resection. There is a paucity of pathology literature on this subject. We describe an additional case of pulmonary valve fibroelastoma diagnosed by transesophageal echocardiography and magnetic resonance imaging confirmed by pathologic examination in a patient who also had a thymoma.


2021 ◽  
Vol 14 ◽  
pp. 117954762110248
Author(s):  
Selvakumar Subbaraman ◽  
Seena Cheppala Rajan ◽  
Saveetha Veeraiyan ◽  
Paarthipan Natarajan

Primary cardiac tumors are rare. We report a case of lipomatous hypertrophy of the interventricular septum in a healthy, asymptomatic, 16 year old female, diagnosed initially by echocardiogram. Non contrast Computed tomography (CT) and Cardiac magnetic resonance imaging (CMR) were also performed to confirm the diagnosis of this rarely reported condition. Lipomatous hypertrophy of the interventricular septum is a rare form of benign cardiac tumor characterized by the proliferation of adipose tissue (fat) in the interventricular septum. This clinical entity has to be differentiated from cardiac lipoma which is a benign, encapsulated tumor. CMR helps is differentiating between the 2 conditions. As the lesion was neither causing compression of the ventricle nor obstruction to blood flow, she was managed conservatively and advised follow up.


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