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DOI: 10.1055/s-2008-1039229
© Georg Thieme Verlag KG Stuttgart · New York
Metastasis after Resection of Huge Primary Pericardial Pleomorphic Liposarcoma with Cardiopulmonary Bypass
Publication History
received July 9, 2008
Publication Date:
23 March 2010 (online)
Abstract
Liposarcoma is the most commonly diagnosed soft tissue sarcoma in adults and occurs predominantly in the lower limbs or retroperitoneal area. However, of the five types of liposarcoma, primary pleomorphic liposarcoma originating in the pericardium is extremely rare. Because of its location in the anterior mediastinum, life-threatening symptoms and signs frequently require urgent surgery with extracorporeal circulation. However, there is no previous report warning of the possible dangerous effect of cardiopulmonary bypass. We present a rare case of huge malignant primary pericardial pleomorphic liposarcoma with early postoperative multiple metastases which may be due to cardiopulmonary bypass.
Key words
Thoracic surgery - liposarcoma - pericardium
References
- 1 Vaporciyan A A, Rice D, Correa A M, Walsh G, Putnam J B, Swisher S et al. Resection of advanced thoracic malignancies requiring cardiopulmonary bypass. Eur J Cardiothorac Surg. 2002; 22 47-52
- 2 Anand K T, Manohar S R, Harikrishnan S, Neelakandhan K S. Right ventricular mass: a histopathological surprise. Ann Thorac Surg. 2003; 75 1969-1971
- 3 Rubin B P, Fletcher C D M. The cytogenetics of lipomatous tumors. Histopathology. 1997; 30 507-511
- 4 Enzinger F M, Weiss S W. Liposarcoma. Soft tissue tumors. 3rd ed. St. Louis, MO; Mosby 1995: 431-466
- 5 Gebhard S, Coindre J M, Michels J J, Terrier P, Bertrand G, Trassard M, Taylor S, Chateau M C, Marques B, Picot V, Guillou L. Pleomorphic liposarcoma: clinicopathologic, immunohistochemical, and follow-up analysis of 63 cases. Am J Surg Pathol. 2002; 25 601-616
- 6 Hughes T M D, Thomas J M. Sarcoma metastases due to iatrogenic implantation. Eur J Surg Oncol. 2000; 26 50-52
- 7 Noji T, Morikawa T, Kaji M, Ohtake S, Katoh H. Successful resection of a recurrent mediastinal liposarcoma invading the pericardium: report of a case. Surg Today. 2004; 34 450-452
Prof. Kilsoo Yie, MD
Department of Thoracic and Cardiovascular Curgery
Clinical Research Institute of Kangwon National University Hospital
Kangwon National University
Hojadong
200-701 Chuncheon
Republic of Korea
Phone: + 82 03 32 58 22 94
Fax: + 82 03 32 58 21 59
Email: elpucco@kangwon.ac.kr