Open AccessManagement of a primary cardiac leiomyosarcoma in a young woman
Author(s) -
Mehmet Akif Önalan,
Ahmet Demirkaya,
Kemal Behzatoğlu,
Ersin Erek
Publication year - 2021
Publication title -
türk göğüs kalp damar cerrahisi dergisi :/türk göğüs kalp damar cerrahisi dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.149
H-Index - 10
eISSN - 2149-8156
pISSN - 1301-5680
DOI - 10.5606/tgkdc.dergisi.2021.21040
Subject(s) - medicine , leiomyosarcoma , thoracotomy , surgery , pathological , adjuvant chemotherapy , cardiac tumors , chemotherapy , primary tumor , radiology , metastasis , cancer , breast cancer
Cardiac leiomyosarcoma is an extremely rare tumor with a poor prognosis. An 18-year-old female patient was admitted to our clinic with a left atrial leiomyosarcoma extending to the right lower pulmonary veins. We performed complete tumor excision by the right anterolateral mini-thoracotomy approach using minimally invasive techniques. After pathological confirmation of the tumor, right lower lobectomy was performed with the same incision one week later to prevent recurrence. Although no tumor remnant was found in the lobectomy specimen, adjuvant chemotherapy was started. No recurrence was detected during the 12-month follow-up. In conclusion, the right submammarian minithoracotomy approach has the advantages of its less invasive nature and suitability for complete tumor resection with lobectomy.