Preoperative identification and operative management of intraatrial extension of lung tumors.
Preoperative identification of intraatrial tumor is uncommon. A 23-year-old woman presented with local recurrence and pulmonary metastases after previous resection of a clavicular sarcoma. Evaluation by computed tomography revealed bilateral pulmonary masses. Due to the size and proximal location, magnetic resonance imaging and transesophageal echocardiography were performed, revealing a large intraatrial mass. She then underwent staged surgical excision without intraoperative complications. We summarize this case and review risk factors for intracardiac extension and prevention of tumor emboli.
Heslin
M J
MJ
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Casper
E S
ES
Boland
P
P
Gold
J P
JP
Burt
M E
ME
D000328:Adult; D001859:Bone Neoplasms / Q000473:pathology*; D002968:Clavicle; D005260:Female; D006325:Heart Atria / Q000473:pathology*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D009360:Neoplastic Cells, Circulating; D013584:Sarcoma, Synovial / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed