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KMID : 0371319680100050337
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Journal of the Korean Surgical Society
1968 Volume.10 No. 5 p.337 ~ p.344
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Primary Fibroliposarcoma of Pericardium
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李弘均/Lee, Hong K.
李基周/閔炳奭/元彦植/Lee, Ki C./Min, Byong S./Won, Eun S.
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Abstract
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Primary tumor of the pericardium is rare, far rarer than primary tumor of the heart. The diagnosis of the primary tumor of the pericardium is rarely made during life. In none of the cases reported prior to 1930, the diagnosis had been made antemortem (Boman) In 1930, Parker reported 11 cases of sarcoma of the pericardium, in all of which the diagnosis had been made at autopsy. Among 29 cases of primary tumor of the pericardium collected from the English literature up to 1960 by Forest and Kozonis, the antemortem diagnosis was made only in two cases. As recently as 1964 Pader and Kirshner stated that, of 14 cases of malignant primary tumor of the pericardium, the correct diagnosis was made only in two during life.
A case of pimary fibroliposarcoma of the pericardium weighing 5.4㎏ was succesfully removed in the Catholic Medical Center in Seoul.
Under the tentative dianosis of a mediastinal tumor, thoracotomy was performed on Aug. 27, 1966. The entire left pleural cavity was of occupied by a huge mass covered by the pericardium. The left lung was completely collapsed by the mass. On opening the pericardium a huge xanthochromic mass extending from the cardiac base to the apex was noted. The mass was soft, elastic, vascular and well lobulated, displacing the diaphragm downward and the heart to the right. The pedicle of the tumor appeared to originated from the base of the the left heart surrounding the left pulmonary vessels. The entire tumor was removed in piecemeal fashion.
Postoperative course was uneventful and patient was discharged in good condition on the 23rd hospital day. He is in good health now 20 months postoperatively.
The microscopic examination of the tumor revealed fat cells of varying size separated by irregularly running collagen fibers and cells with spindle nuclei of considerable pleomorphism, showing giant, hyperchromatic and clumped chromatin. Occasionally cells with mitosis were found in addition to areas of dilated blood vessels, extravasated erythrocytes and lymphocytes.
The final diagnosis was fibroliposarcoma.
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KEYWORD
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