Key result
Echocardiography-guided fine-needle aspiration enables successful diagnosis of right atrial angiosarcoma.
Case Report (n=1)
Echocardiographic-guided fine-needle aspiration can be effectively used to diagnose cardiac angiosarcoma.
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Supports feasibility of echo-guided FNA for cardiac masses; hypothesis-generating and requires prospective validation before broader adoption.
The authors present a case of cardiac angiosarcoma diagnosed by fine-needle aspiration (FNA) in a 33-year-old male. A percutaneous right atrial mass biopsy was performed via a right internal jugular venous approach and under echocardiographic guidance. FNA showed pleomorphic spindle-shaped cells present singly and in small clusters in a background of hemorrhage. Occasional pseudo-acini or microacinar structures were observed, that are lined with abnormal spindly to polygonal cells, indicative of vasoformative structures. Immunostain for CD31 was strongly positive. A diagnosis of cardiac angiosarcoma was made, following which, the patient underwent treatment with chemotherapy.
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Bhalla et al. (2007) conducted a case report in Cardiac angiosarcoma (n=1). Echocardiographic-guided fine-needle aspiration was evaluated on Diagnosis of cardiac angiosarcoma. Echocardiographic-guided fine-needle aspiration successfully diagnosed cardiac angiosarcoma in a 33-year-old male presenting with a right atrial mass.
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