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Primary leiomyosarcoma of the right atrium: a case report and literature update
Haralabos Parissis1, Mohamad Taukeer Akbar, Vincent Young
1Cardiothoracic Department, Royal Victoria Hospital, Grosvernor Rd, Belfast BT12 6BA, Northern Ireland. hparissis@yahoo.co.uk
Abstract:
Leiomyosarcoma of the right atrium is a very rare cardiac tumor. Various combinations of treatments including resection or transplant surgery and Chemotherapy have been advocated. We report a case of a man who presented with pulmonary embolism secondary to right atrial leiomyosarcoma. He was managed by excision of the tumor and reconstruction of the right atrium with autologous pericardium. Postoperatively tumor dissemination was controlled with adjuvant chemotherapy.A vigorous attempt aiming at tumor clearance followed by adjuvant multimodality therapy along with a tumor surveillance program may improve survival.
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