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DOI: 10.1055/s-0041-1729928
Mediastinal Rhabdomyosarcoma Feeding Off the Left Anterior Descending Artery
Abstract
We report the rare case of a 51-year-old patient with a 15 cm mediastinal rhabdomyosarcoma with blood supply from the left anterior descending artery presenting as a large mass including the pericardium with extensive contact to the epicardium compressing heart and left lung. The tumor was successfully removed through median sternotomy, blunt dissection from the heart and the left lung, resection of the infiltrated pericardium, and ligation of the tumor-feeding vessels using off-pump stabilizers. Histopathological examination revealed a spindle cell rhabdomyosarcoma with R0 resection. The postoperative course was uneventful, and patient is feeling well at 3-month follow-up.
Publikationsverlauf
Eingereicht: 23. Dezember 2020
Angenommen: 08. März 2021
Artikel online veröffentlicht:
25. Februar 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Schlag PM, Hartmann JT, Budach V. Weichgewebetumoren: Interdisziplinäres Management. Berlin, Heidelberg: Springer-Verlag; 2011. 15.
- 2 Bisogno G, De Salvo GL, Bergeron C. et al. Maintenance low-dose chemotherapy in patients with high-risk (HR) rhabdomyosarcoma (RMS): a report from the European Paediatric Soft Tissue Sarcoma Study Group (EpSSG). J Clin Oncol 2018;36;
- 3 Caillaud JM, Gérard-Marchant R, Marsden HB. et al. Histopathological classification of childhood rhabdomyosarcoma: a report from the International Society of Pediatric Oncology pathology panel. Med Pediatr Oncol 1989; 17 (05) 391-400
- 4 Castorino F, Masiello P, Quattrocchi E, Di Benedetto G. Primary cardiac rhabdomyosarcoma of the left atrium: an unusual presentation. Tex Heart Inst J 2000; 27 (02) 206-208
- 5 Nagata K, Irie K, Morimatsu M, Nakashima T, Eriguchi N, Koga M. Rhabdomyosarcoma of the right ventricle. Acta Pathol Jpn 1982; 32 (05) 843-849
- 6 Villacampa VM, Villarreal M, Ros LH, Alvarez R, Cózar M, Fuertes MI. Cardiac rhabdomyosarcoma: diagnosis by MR imaging. Eur Radiol 1999; 9 (04) 634-637
- 7 Adjuvant chemotherapy for localised resectable soft tissue sarcoma in adults. Sarcoma Meta-analysis Collaboration (SMAC). Cochrane Database Syst Rev 2000; (02) CD001419