TY - JOUR
T1 - A 74-year-old woman with dyspnoea and a mass in the right atrium
AU - Rijlaarsdam, Martin Anne
AU - van Boven, Wim Jan
AU - Planken, Robrecht Nils
AU - Meregalli, Paola Giuseppina
PY - 2018
Y1 - 2018
N2 - A 74-year-old woman was admitted with pericardial effusion causing haemodynamic instability. On echographic and radiological examination, a mass was identified in the right atrium, extending into the epicardial layer. In the differential diagnosis of a cardiac mass, benign primary lesions like a myxoma must be distinguished from rare primary cardiac malignancies like sarcomas or more frequent secondary tumours. These include localisations of lymphomyeloproliferative disease and metastases of a melanoma or various subtypes of carcinoma. In this case, histopathological examination of a surgical biopsy showed findings consistent with a high-grade angiosarcoma. Because of the size and localisation, as well as the presence of a possible metastasis in the rib, surgical treatment was not possible. After diagnosis, the patient developed multiple additional metastasis. She received palliative radiotherapy to control the pain and died 10 months after the initial diagnosis was made. Median reported survival is 6 months.
AB - A 74-year-old woman was admitted with pericardial effusion causing haemodynamic instability. On echographic and radiological examination, a mass was identified in the right atrium, extending into the epicardial layer. In the differential diagnosis of a cardiac mass, benign primary lesions like a myxoma must be distinguished from rare primary cardiac malignancies like sarcomas or more frequent secondary tumours. These include localisations of lymphomyeloproliferative disease and metastases of a melanoma or various subtypes of carcinoma. In this case, histopathological examination of a surgical biopsy showed findings consistent with a high-grade angiosarcoma. Because of the size and localisation, as well as the presence of a possible metastasis in the rib, surgical treatment was not possible. After diagnosis, the patient developed multiple additional metastasis. She received palliative radiotherapy to control the pain and died 10 months after the initial diagnosis was made. Median reported survival is 6 months.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85042403691&origin=inward
U2 - https://doi.org/10.1136/bcr-2017-222261
DO - https://doi.org/10.1136/bcr-2017-222261
M3 - Article
SN - 1757-790X
VL - 2018
JO - BMJ Case Reports
JF - BMJ Case Reports
M1 - 387
ER -