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Turk Gogus Kalp Damar Cerrahisi Derg. 2021 Apr 26;29(2):267-270. doi: 10.5606/tgkdc.dergisi.2021.21040. eCollection 2021 Apr.

Management of a primary cardiac leiomyosarcoma in a young woman.

Turk gogus kalp damar cerrahisi dergisi

Mehmet Akif Önalan, Ahmet Demirkaya, Kemal Behzatoglu, Ersin Erek

Affiliations

  1. Department of Cardiovascular Surgery, Ac?badem Mehmet Ali Ayd?nlar University Faculty of Medicine, Istanbul, Turkey.
  2. Department of Thoracic Surgery, Ac?badem Mehmet Ali Ayd?nlar University Faculty of Medicine, Istanbul, Turkey.
  3. Department of Pathology, Ac?badem Mehmet Ali Ayd?nlar University Faculty of Medicine, Istanbul, Turkey.

PMID: 34104523 PMCID: PMC8167459 DOI: 10.5606/tgkdc.dergisi.2021.21040

Abstract

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.

Copyright © 2021, Turkish Society of Cardiovascular Surgery.

Keywords: Cardiac neoplasm; leiomyosarcoma; surgery

Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

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