title: Cardiac metastasis of an epitheloid leiomyoblastoma of the lung.
abstract: 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.
authors.affiliation: Clinic of Cardiovascular Surgery, University Hospital, Zurich, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Künzli
authors.forename: H R
authors.initials: HR
authors.lastname: Zenklusen
authors.forename: R
authors.initials: R
authors.lastname: Schläpfer
authors.forename: P
authors.initials: P
authors.lastname: Dalquen
authors.forename: P
authors.initials: P
authors.lastname: Vogt
authors.forename: E
authors.initials: E
authors.lastname: Grädel
mesh_terms: 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