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Abstract

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Article in Japanese

Case Report

A case of cardiac angiosarcoma with pulmonary metastases that occurred 17 years after heart operation

Yoshie Moritaa  Kenji Morimotoa  Keiko Tanimuraa  Yusuke Chiharaa  Yoshiko Kanekoa  Yoshinobu Iwasakib 

aDivision of Pulmonary Medicine, Kyoto Prefectural University of Medicine
bDivision of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine

ABSTRACT

A 69-year-old man complained about bloody sputum and dyspnea on effort. Computed tomography showed a right atrial mass, multiple pulmonary nodules, and ground-glass opacities, especially in the lower lungs. 18F-Fluorodeoxyglucose positron emission tomography showed abnormal uptake in the pulmonary nodules, right atrial tumor, and ground-glass opacities. He underwent heart catheter examination, and cardiac sarcoma was given a diagnosis by aspiration cytology. Low-dose docetaxel was administered, and he gained partial response. Angiosarcoma is one of the rare soft tissue tumors known to be caused by trauma, lymphedema, or radiation therapy. In this case, right atrial approach for both mitral and aortic valve replacement and coronary artery bypass graft surgery was performed 17 years ago. It suggests that cardiac operation would be related to the cause of cardiac angiosarcoma.

KEYWORDS

Cardiac angiosarcoma  Pulmonary metastases  Post heart operation 

Received 31 Mar 2015 / Accepted 7 Jul 2015

AJRS, 4(6): 439-443, 2015

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