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Korean J Med > Volume 88(6); 2015 > Article
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The Korean Journal of Medicine 2015;88(6): 685-689.
점액종으로 오인되고 절제술 후 급속히 성장한 좌심방의 점액섬유육종
서지원1,2, 윤보라1, 최정호1,2, 전경현1,2, 주현철2,3, 오은지4, 이상학1,2
1연세대학교 의과대학 세브란스병원 심장내과
2연세대학교 의과대학 세브란스병원 심혈관연구소
3연세대학교 의과대학 세브란스병원 심장혈관 외과
4연세대학교 의과대학 세브란스병원 병리과
Rapid Regrowth of Left Atrial Myxoid Fibrosarcoma Considered to be Myxoma after Surgical Resection
Jiwon Seo1,2, Bora Yoon1, Jung Ho Choi1,2, Kyung Hyun Chun1,2, Hyun-Chul Joo2,3, Eun Ji Oh4, Sang-Hak Lee1,2
1Division of Cardiology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
2Cardiovascular Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
3Department of Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
4Department of Diagnostic Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
Corresponding Author: Sang-Hak Lee ,Tel: +82-2-2228-8460, Fax: +82-2-2227-7732, Email: shl1106@yuhs.ac
Received: July 3, 2014;   Revised: September 1, 2014;   Accepted: October 13, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Malignant primary cardiac tumors are rare with the most common type among them being sarcomas. However, a myxoid sarcoma in the heart is very rare and differentiating it from from cardiac myxoma is often difficult. Here, we report a case of rapid regrowth of a left atrial tumor after surgical resection that was finally diagnosed as cardiac myxoid fibrosarcoma. An 82-year-old man, who underwent resection of a cardiac tumor 3 months ago, presented with severe dyspnea and peripheral edema. He was diagnosed with a mitral valve obstruction due to the regrowth of a huge left atrial tumor. The patient had a second resection and the resected tumor was finally diagnosed as myxoid fibrosarcoma.
Keywords: Fibrosarcoma; Myxoma; Mitral valve stenosis; Heart neoplasms
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