Article (Scientific journals)
Recurrent cardiac intimal sarcoma misdiagnosed as a myxoma or malignant transformation of a cardiac myxoma?
Durieux, Rodolphe; Tchana-Sato, Vincent; LAVIGNE, Jean-Paul et al.
2021In Journal of Cardiac Surgery, 36 (1), p. 357-362
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Keywords :
cardiovascular pathology; oncology
Abstract :
[en] Cardiac intimal sarcoma is extremely rare and aggressive primary malignant cardiac tumors. Here, we reported the case of a young man initially operated for a tumor of the left atrium, causing a dynamic obstruction of the mitral valve and (mis-)diagnosed as a myxoma at the histopathological analysis. Patient presented a local recurrence at 3 months and was reoperated. Pathology revealed this time the presence of an intimal sarcoma. Patient received adjuvant chemotherapy. Despite a good local control, the 1-year follow-up positron emission tomography scan revealed the presence of a metastasis in the left adrenal gland that was surgically resected. This article aims to highlight the risk of misdiagnosis in case of cardiac tumors, the hypothetical concept of malignant transformation of a cardiac myxoma, the aggressive course of the extremely rare cardiac intimal sarcoma, and the therapeutic modalities available to treat this pathology.
Disciplines :
Oncology
Author, co-author :
Durieux, Rodolphe  ;  Université de Liège - ULiège > GIGA
Tchana-Sato, Vincent  ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
LAVIGNE, Jean-Paul 
Radermecker, Marc ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Anatomie humaine
MOONEN, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Cardiologie multidisciplinaire et prévention
SCAGNOL, Irène ;  Centre Hospitalier Universitaire de Liège - CHU > Unilab > Service d'anatomie et cytologie pathologiques
GENNIGENS, Christine  ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service d'oncologie médicale
Defraigne, Jean-Olivier ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Language :
English
Title :
Recurrent cardiac intimal sarcoma misdiagnosed as a myxoma or malignant transformation of a cardiac myxoma?
Publication date :
2021
Journal title :
Journal of Cardiac Surgery
ISSN :
0886-0440
eISSN :
1540-8191
Publisher :
Blackwell, Oxford, United Kingdom
Volume :
36
Issue :
1
Pages :
357-362
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
© 2020 Wiley Periodicals LLC.
Available on ORBi :
since 05 February 2021

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