RESUMEN
Primary spindle cell sarcoma of the heart is a rare malignant tumor of the heart. A 65-year-old woman was admitted under our care with complaints of shortness of breath. Echocardiogram showed pedunculated mass in the left atrium. Cardiac magnetic resonance imaging done elsewhere had confirmed a left atrial tumor. No further investigations were considered with a diagnosis of left atrial myxoma. She underwent total excision of the tumor: mitral valve involvement necessitated a repair all of which was done under cardiopulmonary bypass. Histopathology showed a primary spindle cell sarcoma. In view of histology, chemotherapy was planned and initiated. A month after surgery, she presented again with a recurrence.
RESUMEN
Solitary fibrous tumors are rare mesenchymal tumors accounting for <5% of all neoplasms in the pleura and other sites. A 45-year-old man reported to us with cough and dyspnea. Radiological investigations revealed a giant mass displacing the mediastinum to the left. The tumor weighing 3.0 kg was successfully resected via a right thoracotomy. Histology and immunohistochemistry confirmed a benign tumor. Recurrence and malignant transformation of these benign tumors have been reported. Our patient has been followed up for 4 years with no recurrence.
Asunto(s)
Neoplasias Pleurales/patología , Tumor Fibroso Solitario Pleural/patología , Biomarcadores de Tumor/análisis , Biopsia , Humanos , Inmunohistoquímica , Masculino , Persona de Mediana Edad , Neoplasias Pleurales/química , Neoplasias Pleurales/cirugía , Tumor Fibroso Solitario Pleural/química , Tumor Fibroso Solitario Pleural/cirugía , Toracotomía , Factores de Tiempo , Resultado del Tratamiento , Carga TumoralRESUMEN
Primary osteosarcoma arising from the ribs is very rare. An unusual case of a primary chondroblastic osteosarcoma of the rib in a 30-year-old woman is described here. The patient underwent wide excision of the tumor along with the involved rib, followed by chemotherapy. Although clinically unsuspected in this unusual site, pathology confirmed a completely resected chondroblastic osteosarcoma.
Asunto(s)
Neoplasias Óseas/patología , Osteosarcoma/patología , Costillas/patología , Adulto , Biopsia , Neoplasias Óseas/terapia , Quimioterapia Adyuvante , Diagnóstico Diferencial , Femenino , Humanos , Osteosarcoma/terapia , Osteotomía , Valor Predictivo de las Pruebas , Costillas/cirugía , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Idiopathic pulmonary artery aneurysms are rare and need a multidisciplinary approach to diagnosis and treatment. Surgery is the treatment of choice, especially when the aneurysms are large and when they are associated with pulmonary regurgitation. This report highlights a case in which successful surgical repair preserved the native pulmonary valve after pulmonary artery reconstruction.