Key result
Surgical resection of a huge metastatic pericardial liposarcoma successfully improved diastolic heart failure symptoms and enabled the reintroduction of chemotherapy.
Case Report (n=1)
No
Aggressive surgical resection of metastatic pericardial liposarcoma can resolve cardiac impairment and allow for further chemotherapy.
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May support individualized resection for symptomatic pericardial metastases; leaves open generalizability and requires prospective validation.
Although liposarcoma often metastasizes to various organs, cardiac metastasis, including to the pericardium, is rare. We present a case of a third recurrence of pericardial metastasis from the thigh, which required surgical resection because of cardiac failure. Surgery was effective for improving cardiac function and reintroducing chemotherapy. This is the first reported case of metastatic pericardial liposarcoma, which was successfully resected three times. We believe that aggressive surgical treatment, when it can resolve cardiac impairment, potentially leads to a more favorable prognosis.
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Yamashita et al. (2015) conducted a case report in Metastatic pericardial liposarcoma with diastolic heart failure (n=1). Surgical resection was evaluated on Symptom improvement and cardiac function. Surgical resection of a huge metastatic pericardial liposarcoma successfully improved diastolic heart failure symptoms and enabled the reintroduction of chemotherapy.
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