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Yeungnam Univ J Med > Volume 26(2); 2009 > Article
Yeungnam University Journal of Medicine 2009;26(2):108-113.
DOI: https://doi.org/10.12701/yujm.2009.26.2.108    Published online December 31, 2009.
A Case of Primary Unclassified Spindle Cell Sarcoma of the Left Atrium.
Jeong Hwan Cho, Geu Ru Hong, In Wook Song, Chang Woo Son, Sun Young Jung, Jong Ho Nam, Mi Jin Kim
1Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. grhong@med.yu.ac.kr
2Department of Pathology College of Medicine, Yeungnam University, Daegu, Korea.
Abstract
Primary cardiac tumors are very uncommon. Seventy five percent of them are benign tumors and these are mostly myxomas. The malignant cardiac tumors, the majority of which are undifferentiated sarcomas, comprise up to 25% of all cardiac tumors. A primary malignant sarcoma of the myocardium is exceedingly rare. Thus, there have been very few such cases reported in the literature. We present here a case of a 15 year old man who had complaints of orthopnea and increasing exercise intolerance over a one month period. Transthoracic echocardiography demonstrated a well demarcated huge mass with left ventricular inflow obstruction on the posterior wall of the left atrium. The patient's symptoms were relieved by surgery. The histological diagnosis was an unclassified spindle cell sarcoma.
Key Words: Spindle cell sarcoma, Left atrium


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