Korean J Med.
2015 Jun;88(6):685-689. 10.3904/kjm.2015.88.6.685.
Rapid Regrowth of Left Atrial Myxoid Fibrosarcoma Considered to be Myxoma after Surgical Resection
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. shl1106@yuhs.ac
- 2Cardiovascular Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
- 3Department of Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
- 4Department of Diagnostic Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 2269081
- DOI: http://doi.org/10.3904/kjm.2015.88.6.685
Abstract
- Malignant primary cardiac tumors are rare with the most common type among them being sarcomas. However, a myxoid sarcoma in the heart is very rare and differentiating it from from cardiac myxoma is often difficult. Here, we report a case of rapid regrowth of a left atrial tumor after surgical resection that was finally diagnosed as cardiac myxoid fibrosarcoma. An 82-year-old man, who underwent resection of a cardiac tumor 3 months ago, presented with severe dyspnea and peripheral edema. He was diagnosed with a mitral valve obstruction due to the regrowth of a huge left atrial tumor. The patient had a second resection and the resected tumor was finally diagnosed as myxoid fibrosarcoma.
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