Cardiac metastasis of an epitheloid leiomyoblastoma of the lung.
A 73-year-old patient underwent an extended pneumonectomy on the left side on account of a central malignant epitheloid leiomyoblastoma of the upper lobe. During this operation a tumor invasion of the pulmonary vein was discovered by chance. During the postoperative course the patient suffered from a tumor-caused morbus embolicus which led to his death. The autopsy showed cardiac metastasis. Four aspects are discussed: the morphology and biology of the malignant leiomyoblastoma, the incidence of cardiac metastases and their clinical diagnosis as well as the intraoperative embolism of tumor masses during lung resections.
Künzli
A
A
Clinic of Cardiovascular Surgery, University Hospital, Zurich, Switzerland.
Zenklusen
H R
HR
Schläpfer
R
R
Dalquen
P
P
Vogt
P
P
Grädel
E
E
D000368:Aged; D006338:Heart Neoplasms / Q000556:secondary*; D006801:Humans; D018230:Leiomyoma, Epithelioid / Q000473:pathology* / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D009360:Neoplastic Cells, Circulating; D011667:Pulmonary Veins