RESUMEN

The preferred management of a cardiac mass remains controversial, but it often includes open-chest surgical excision to obtain an adequate tissue sample for histological workup. We herein report a less invasive approach in which an accurate and timely cytological diagnosis of pericardial angiosarcoma was reached by studying a CT-guided fine-needle aspiration cell block. The cell block showed proliferation of atypical cells with occasional mitotic figures, vasoformative features, and immunoreactivity to WT1, vimentin, CD31, CD34, ERG, and Ki67. Recourse to fine-needle aspiration and cell block study is a valuable diagnostic approach to be considered when a cardiac mass is percutaneously accessible.

Asunto(s)

Neoplasias Cardíacas/diagnóstico , Hemangiosarcoma/diagnóstico , Pericardio/patología , Radiografía Intervencional/métodos , Biomarcadores de Tumor/análisis , Biopsia con Aguja Fina , Resultado Fatal , Femenino , Neoplasias Cardíacas/patología , Humanos , Inmunohistoquímica , Persona de Mediana Edad , Tomografía Computarizada por Rayos X