Cardiac Mass in a 78-Year-Old Patient With a History of Cancer: Diagnostic and Treatment Challenges.

IF 0.9 4区 医学 Texas Heart Institute Journal Pub Date : 2024-08-02 DOI:10.14503/THIJ-23-8299
Bihong Zhao, Ayah Zaqqa, Michelle M McDonald, Ismael A Salas de Armas, Igor D Gregoric, L Maximilian Buja
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Abstract

Primary cardiac angiosarcoma is a rare, aggressive malignancy that commonly metastasizes to various organs. The presenting symptoms are typically nonspecific, so a comprehensive examination is required to confirm the diagnosis promptly. This case report describes the presentation of an older patient with a history of neoplasms. Echocardiography and biopsy were performed, but despite surgical intervention to resect a large right atrial mass, the patient died. A final diagnosis of primary angiosarcoma was made based on the resected specimen.

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一名 78 岁有癌症史患者的心脏肿块:诊断与治疗的挑战。
原发性心脏血管肉瘤是一种罕见的侵袭性恶性肿瘤,通常会转移到各种器官。其症状通常没有特异性,因此需要进行全面检查才能及时确诊。本病例报告描述了一名有肿瘤病史的老年患者的表现。患者接受了超声心动图检查和活组织检查,尽管手术切除了一个巨大的右心房肿块,但患者还是死亡了。根据切除的标本,最终诊断为原发性血管肉瘤。
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来源期刊
Texas Heart Institute Journal
Texas Heart Institute Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
11.10%
发文量
131
期刊介绍: For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor
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