Nadir bir kardiyak tümör olgusu: Malign fibröz histiyositoma

Yıl 2020, , 713 - 715, 01.08.2020

Hasan Sarı , Sefa Tatar Yakup Alsancak

https://doi.org/10.28982/josam.698065

Öz

Kardiyak tümörler genellikle benign karakterdedir, fakat nadir de olsa malign karakterde seyredebilir. Malign fibröz histosiyoma bir sarkom türüdür, klinik ve histolojik açıdan atrial miksoma ile karışır. Biz bu vaka takdiminde, non-spesifik şikayetlerle başvuran bir hastada intrakardiyak kitle tespit edilmesinin sonrasında Malign Fibröz Histiyositoma tanısı alan ve cerrahi sonrası kemoterapi altında kısa sürede intrakardiyak kitleler şeklinde nüks yaşanan olguyu sunuyoruz.------------------------

Anahtar Kelimeler

Kardiyak tümör, Malign fibröz histiyositoma, Cerrahi tedavi, Kemoterapi, Nüks

A rare case of cardiac tumor: Malignant fibrous histiocytoma

Öz

Cardiac tumors are generally benign; however, they can rarely be malignant. Malignant fibrous histiocytoma is a type of sarcoma. Cardiac malignant fibrous histiocytomas are clinically and histologically confused with atrial myxomas. In this case report, we present a patient who was administered to the hospital with non-specific complaints, determined to have an intracardiac mass and subsequently diagnosed with malignant fibrous histiocytoma, which shortly recurred in the form of intracardiac masses after postoperative chemotherapy.

Anahtar Kelimeler

Cardiac tumor, Malignant fibrous histiocytoma, Operative therapy, Chemotherapy, Recurrence

Kaynakça

• 1. Straus R, Merliss R. Primary tumor of the heart. Arch Pathol. 1945;39:74–8.
• 2. Neragi-Miandoab S, Kim J, Vlahakes GJ. Malignant tumours of the heart: A review of tumour type, diagnosis and therapy. Clin Oncol (R Coll Radiol). 2007;19:748–56. doi: 10.1016/j.clon.2007.06.009.
• 3. Basant K, Bhupendra KS, Vivek SG. Left Atrial Myxoma from Anterior Mitral Valve. Int J Appl Basic Med Res. 2019 Oct-Dec;9(4):251–2. doi: 10.4103/ijabmr.IJABMR_288_18
• 4. Bandyopadhyay S, Banerjee S, Paul A, Das RK. Primary malignant fibrous histiocytoma involving the left pulmonary vein presenting as a left atrial tumor. Ann Card Anaesth. 2013;16(4):293–5. doi: 10.4103/0971-9784.119184.
• 5. Okamoto K, Kato S, Katsuki S, Wada Y, Toyozumi Y, Morimatsu M, et al. Malignant fibrous histiocytoma of the heart: case report and review of 46 cases in the literature. Intern Med. 2001;40(12):1222–6. doi: 10.2169/internalmedicine.40.1222.
• 6. Stevens CW, Sears-Rogan P, Bitterman P, Torrisi J. Treatment of malignant fibrous histiocytoma of the heart. Cancer. 1992;69(4):956–61.
• 7. Laya MB, Mailliard JA, Bewtra C, Levin HS. Malignant fibrous histiocytoma of the heart. A case report and review of the literature. Cancer. 1987;59(5):1026–31.
• 8. Shah AA, Churg A, Sbarbaro JA, Sheppard JM, Lamberti J. Malignant fibrous histiocytoma of the heart presenting as an atrial myxoma. Cancer. 1978;42:2466 71.
• 9. Sato M, Suenaga E, Senaha S, Furutachi A. Primary malignant fibrous histiocytoma of the heart. Gen Thorac Cardiovasc Surg. 2007;55:29 31.
• 10. Truong PT, Jones SO, Martens B, Alexander C, Paquette M, Joe H, et al. Treatment and outcomes in adult patients with primary cardiac sarcoma: the British Columbia Cancer Agency experience. Ann Surg Oncol. 2009;16:3358. doi: 10.1245/s10434-009-0734-8.
• 11. Putnam JB Jr, Sweeney MS, Colon R, Lanza LA, Frazier OH, Cooley DA. Primary cardiac sarcomas. Ann Thorac Surg. 1991;51:906 10.
• 12. Barkley HT, Martin RG, Romsdahl MM, Lindberg R, Zagars GK. Treatment of soft tissue sarcomas by preoperative irradiation and conservative surgical resection. Int J Radiat Oncol Biol Phys. 1988;14:693–9.
• 13. Lindberg RD, Martin RG, Romsdahl MM, Barkley HT. Conservative surgery and postoperative radiotherapy in 300 adults with soft-tissue sarcomas. Cancer. 1981;47:2391-7.
• 14. Randhawa JS, Budd GT, Randhawa M, Ahluwalia M, Jia X, Daw H. Primary cardiac sarcoma: 25-year Cleveland Clinic experience. Am J Clin Oncol. 2016;39(6):593–9.