Primary malignant fibrous histiocytoma involving the left pulmonary vein presenting as a left atrial tumor

Bandyopadhyay, Saikat; Banerjee, Saurav; Paul, Abhijit; Das, Ratan Kumar

doi:10.4103/0971-9784.119184

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…Malignant fibrous histiocytoma is a type of sarcoma that typically occurs in the extremities and the trunk. There are less than 100 reported cases of primary cardiac malignant fibrous histiocytomas in the literature [4]. The reported patients are aged between 14 and 77 years [5].…”

Section: Discussionmentioning

confidence: 99%

A rare case of cardiac tumor: Malignant fibrous histiocytoma

Sari¹,

Tatar²,

Alsancak³

2020

Journal of Surgery and Medicine

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Section: Discussionmentioning

confidence: 99%

A rare case of cardiac tumor: Malignant fibrous histiocytoma

Sari¹,

Tatar²,

Alsancak³

2020

Journal of Surgery and Medicine

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“…In our patient, this tumor was diagnosed as MFH with vascular and smooth muscle differentiation. Less than 100 patients with primary MFH have been reported in the literature [3] . In addition to that, primary cardiac MFH is diagnosed even more rarely and it affects patients with a wide range of age: 14 to 77 years [4] .…”

Section: Discussionmentioning

confidence: 99%

“…In addition to that, primary cardiac MFH is diagnosed even more rarely and it affects patients with a wide range of age: 14 to 77 years [4] . The tumor is mostly seen in the left atrium, with a frequency of 65% [3] . Contrarily, in our case, the tumor was in the right atrium in the first admission.…”

Section: Discussionmentioning

confidence: 99%

Rapidly Progressive Malignant Fibrous Histiocytoma of Right Atrium: a Rare Case Report

Aksu¹,

Göde²,

Öz³

et al. 2019

Braz J Cardiovasc Surg

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We are going to present a case of malignant fibrous histiocytoma in the right atrium, which is a very rare entity. The patient had a right atrial mass, which prolapsed through the tricuspid valve into the right ventricle, causing functional tricuspid valve stenosis. The tumor was completely resected and the patient had an uneventful postoperative period. Histopathological examination reported malignant fibrous histiocytoma. The patient presented to the emergency department five weeks after discharge with dyspnea and palpitation. Echocardiography and magnetic resonance imaging revealed recurrent right atrial tumor mass. His clinical status has worsened, with syncope and acute renal failure. On the repeated echocardiography, suspected tumor recurrence was observed in left atrium, which probably caused systemic embolization. Considering the aggressive nature of the tumor and systemic involvement, our Heart Council decided to provide palliative treatment by nonsurgical management. His status deteriorated for the next few days and the patient succumbed to a cardiac arrest on the 4 th day.

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“…Almost 65.5 % of the reported patients presented with a primary MFH in the left atrium. The tumor can also localize in different portions of the left atrium, such as the pulmonary veins [ 4 ], septum, and posterior wall. However, the MFH invaded the mitral valve in only eight of the 90 cases [ 7 – 13 ], including our own.…”

Section: Discussionmentioning

confidence: 99%

“…Since then, 44 additional cases of MFH have been reported, resulting in a total of 90 cases of MFH. Cardiac MFH occur more frequently in the left side of the heart, especially in the left atrium [ 4 – 6 ], but rarely invade the mitral valve. The pleomorphic variant of MFH is rarely found and comprises a high cellularity with bizarre tumor cells with marked atypia and high mitotic index.…”

Section: Introductionmentioning

confidence: 99%

Unusual localization of a primary pleomorphic malignant fibrous histiocytoma on the mitral valve: a case report and review of the literature

Prifti

Ademaj²,

Ikonomi

et al. 2015

J Med Case Reports

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IntroductionIt has been reported that cardiac malignant fibrous histiocytomas occur more frequently in the left side of the heart, especially in the left atrium, but rarely invade the mitral valve. We present a case with a giant malignant fibrous histiocytoma with an unusual localization involving almost the entire left atrium, mitral valve, and left superior pulmonary vein.Case presentationWe describe the case of a 54-year-old woman from Kosovo admitted to our emergency department with dyspnea. A transthoracic echocardiography demonstrated a giant mass localized on her left atrium. Our patient underwent emergent total surgical removal of the mass. The mass extended between her left superior pulmonary vein, and extended to her left atrium and the posterior mitral valve leaflet. We formulated a surgical plan for total separation of the mass from the endocardium. Total removal was performed and her left side pulmonary veins were entirely freed from the mass. We then performed a mitral valve replacement. The differential diagnosis included other masses of the left atrium, including thrombi, vegetations, and cardiac tumors. Postsurgical histopathologic results showed a pleomorphic malignant fibrous histiocytoma. Six monthly follow-up cardiac and abdominal sonographic examinations revealed no tumor recidivism.ConclusionWe reviewed 90 cases with malignant fibrous histiocytoma reported in the literature. Our case was especially unusual because of the primary location in the mitral valve, the pleomorphic variant, and the dimensions and extension. Complete surgical resection is mandatory to ameliorate symptoms and to obtain histologic information.

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Primary malignant fibrous histiocytoma involving the left pulmonary vein presenting as a left atrial tumor

Cited by 5 publications

References 11 publications

A rare case of cardiac tumor: Malignant fibrous histiocytoma

A rare case of cardiac tumor: Malignant fibrous histiocytoma

Rapidly Progressive Malignant Fibrous Histiocytoma of Right Atrium: a Rare Case Report

Unusual localization of a primary pleomorphic malignant fibrous histiocytoma on the mitral valve: a case report and review of the literature

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