Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Cardiovascular Sciences, cilt.22, sa.3, ss.355-358, 2010 (Scopus)
Primary cardiac leiomyosarcomas are rare and aggressive tumors with lethal prognosis. We present a patient who underwent an emergent cardiac operation three months following the initial misdiagnosis. The delay for extensive surgery was caused by the earlier magnetic resonance imaging findings suggesting the possibility of a benign mass and subsequent incisional biopsy results suggesting cardiac fibroma. Minimally invasive surgical, echocardiography or CT guided percutaneus needle biopsies may be useful for certain intrapericardial or mediastinal masses. However, the limited amount of tissue collected by these methods may not be available for a specific diagnosis and may misguide the clinicians. The ultimate diagnosis is based on typical pathologic features of the tumor which can be excised during open heart surgery. If there is a suspicion for a malignant intracardiac mass, even without cardiac symptoms, a prompt cardiac operation is the optimal choice for both diagnosis and treatment. Copyright © 2010 by Türkiye Klinikleri.