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Deceptive appearance of a rapidly growing left atrial myxoid sarcoma with pancreatic metastasis
Author(s) -
Di Bari Nicola,
Vitale Nicola,
Marzullo Andrea,
Loizzo Tommaso,
Marraudino Nicola,
Lionetti Giosuè,
Milano Aldo D.
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14920
Subject(s) - medicine , sarcoma , atrial myxoma , myxoma , left atrial myxoma , metastasis , pancreatic mass , neoplasm , surgery , distant metastasis , pathology , pancreas , cancer , left atrium , atrial fibrillation
The third case reported in the literature of a left atrial neoplasm characterized by a very deceptive, low grade cellular component at its early stage of growth, so as to be diagnosed as a myxoma is presented. Two months after surgical excision, regrowth of the mass occurred, producing a pancreatic mass also. The new atrial mass was excised; a left atrial myxoid sarcoma and a pancreatic metastasis were diagnosed. One week later the atrial sarcoma grew again. This time surgery was contraindicated and the patient underwent chemotherapy with a satisfactory control of the sarcoma growth. The myxoid sarcoma may present with the deceptive appearance of a myxoma in their early stages. Therefore, patients who have undergone surgical removal of a myxoma should have a close follow‐up to monitor unexpected malignant turnover.