Schlachtenberger, Georg, Gerfer, Stephen, Kroener, Axel and Wahlers, Thorsten (2018). Angiosarcoma of the Left Atrium: A Case Report. Thorac. Cardiovasc. Surg. Rep., 7 (1). S. e4 - 3. STUTTGART: GEORG THIEME VERLAG KG. ISSN 2194-7643

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Abstract

Background Primary cardiac tumors are rare, andmany 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 x 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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schlachtenberger, GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerfer, StephenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kroener, AxelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wahlers, ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-203431
DOI: 10.1055/s-0038-1627443
Journal or Publication Title: Thorac. Cardiovasc. Surg. Rep.
Volume: 7
Number: 1
Page Range: S. e4 - 3
Date: 2018
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 2194-7643
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TUMORSMultiple languages
SurgeryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/20343

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