Prolonged survival with left atrial spindle cell sarcoma.
Primary spindle cell sarcoma of the left atrium is a rare tumour. Optimal treatment is to obtain complete surgical clearance of the tumour. The anatomic location of the tumour, infiltration into vital structures and difficult access provides a surgical challenge for resection of the lesion and reconstruction of the defect. The prognosis of patients with a primary cardiac sarcoma is very poor because of their resistance to treatment with chemotherapy and radiotherapy. Metastases and local recurrences are common despite optimal multimodality treatment. This report describes a 48-year-old gentleman who underwent multiple surgeries to achieve an 11-year survival since the diagnosis. The operative techniques have been described.
Modi
Amit
A
Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, UK.
Lipnevicius
Arturas
A
Moorjani
Narain
N
Haw
Marcus
M
D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome