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Article in Japanese
Abstract
Case Report
A case of cardiac angiosarcoma with pulmonary metastases that occurred 17 years after heart operation
Yoshie Moritaa Kenji Morimotoa Keiko Tanimuraa Yusuke Chiharaa Yoshiko Kanekoa Yoshinobu Iwasakib
aDivision of Pulmonary Medicine, Kyoto Prefectural University of Medicine
bDivision of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
ABSTRACT
A 69-year-old man complained about bloody sputum and dyspnea on effort. Computed tomography showed a right atrial mass, multiple pulmonary nodules, and ground-glass opacities, especially in the lower lungs. 18F-Fluorodeoxyglucose positron emission tomography showed abnormal uptake in the pulmonary nodules, right atrial tumor, and ground-glass opacities. He underwent heart catheter examination, and cardiac sarcoma was given a diagnosis by aspiration cytology. Low-dose docetaxel was administered, and he gained partial response. Angiosarcoma is one of the rare soft tissue tumors known to be caused by trauma, lymphedema, or radiation therapy. In this case, right atrial approach for both mitral and aortic valve replacement and coronary artery bypass graft surgery was performed 17 years ago. It suggests that cardiac operation would be related to the cause of cardiac angiosarcoma.
KEYWORDS
Cardiac angiosarcoma Pulmonary metastases Post heart operation
Received 31 Mar 2015 ／ Accepted 7 Jul 2015
AJRS, 4(6): 439-443, 2015
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