Key result
Radical surgical resection of a left-atrial malignant fibrous histiocytoma resulted in no signs of tumor recurrence at 29 months follow-up.
Case Report (n=1)
Radical surgical resection of malignant fibrous histiocytoma of the left atrium can result in no tumor recurrence at 29 months follow-up, with echocardiography being the preferred modality for diagnosis and follow-up.
May support radical resection for left-atrial MFH; hypothesis-generating from single case, larger series needed.
The present report describes the case of a 57-year-old patient with malignant fibrous histiocytoma of the left atrium operated on for a suspected atrial myxoma. Surgery was performed as radically as possible and included resection of the atrial wall. Clinical investigation and echocardiography performed 29 months after surgery revealed no signs of tumor recurrence. Diagnostic procedures, topography, pathohistology as well as options for therapy are discussed with regard to the latest literature. A radical surgical approach represents the only effective therapeutic measure. Owing to a lack of sufficient experience, there is no additional therapeutic recommendation on hand. Neither radiation nor chemotherapeutic treatment concepts have proved efficient. Echocardiography represents the best examination procedure for both diagnosis and follow-up in patients with cardiac tumor.
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Korbmacher et al. (1992) conducted a case report in Malignant fibrous histiocytoma of the left atrium (n=1). Radical surgical resection was evaluated on Tumor recurrence. Radical surgical resection of a left-atrial malignant fibrous histiocytoma resulted in no signs of tumor recurrence at 29 months follow-up.
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