ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Management of a primary cardiac leiomyosarcoma in a young woman
Mehmet Akif Önalan1, Ahmet Demirkaya2, Kemal Behzatoglu3, Ersin Erek1
1Department of Cardiovascular Surgery, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, Istanbul, Turkey
2Department of Thoracic Surgery, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, Istanbul, Turkey
3Department of Pathology, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, Istanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2021.21040
Cardiac leiomyosarcoma is an extremely rare tumor with a poor prognosis. An 18-year-old female patient was admitted to our clinic with a left atrial leiomyosarcoma extending to the right lower pulmonary veins. We performed complete tumor excision by the right anterolateral mini-thoracotomy approach using minimally invasive techniques. After pathological confirmation of the tumor, right lower lobectomy was performed with the same incision one week later to prevent recurrence. Although no tumor remnant was found in the lobectomy specimen, adjuvant chemotherapy was started. No recurrence was detected during the 12-month follow-up. In conclusion, the right submammarian minithoracotomy approach has the advantages of its less invasive nature and suitability for complete tumor resection with lobectomy.
Keywords : Cardiac neoplasm, leiomyosarcoma, surgery
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