| Leiomyosarcoma of the inferior vena cava extending into the right atrium : A rare differential diagnosis of a right atrial tumor with fatal outcome. | |
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MedLine Citation:
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PMID: 22430283 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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A 54-year-old female patient presented with a progressive and deteriorating dyspnea at the slightest exertion in particular during the past few days before presentation. Transthoracic echocardiography revealed a large space-occupying lesion in the right atrium extending into the inferior vena cava (IVC). Abdominal magnetic resonance aortography showed an elongated space-occupying lesion in the IVC with a significant portion of the tumor and almost completely filling the right atrium accompanied by an infiltration of the hepatic and renal veins. A pronounced tumor infiltration of the IVC at the level of the liver was confirmed intraoperatively and immunohistochemical analysis showed a moderate to poorly differentiated leiomyosarcoma. The extended tumor was successfully removed by a complex operation of the thorax and abdomen but the procedure was accompanied by severe bleeding. A few hours following the procedure the patient died due to a further episode of irreversible intra-abdominal hemorrhage. |
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Authors:
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U Lotze; J Reponova; G Muth; G Oltmanns; H-C Reich; G Etzrodt; W A Kaiser; O Mutschke; M Ortmann; D Stippel; T Wahlers |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-3-21 |
Journal Detail:
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Title: Herz Volume: - ISSN: 1615-6692 ISO Abbreviation: - Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-3-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7801231 Medline TA: Herz Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Internal Medicine, DRK Hospital Sondershausen, Hospitalstr. 2, 99706, Sondershausen, Germany, lotze@sdh.drk-tb.de. |
Vernacular Title:
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Leiomyosarkom der V. cava inferior mit Ausdehnung bis in den rechten Vorhof : Seltene Differentialdiagnose eines rechtsatrialen Tumors mit letalem Ausgang. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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