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KMID : 0377619670130040391
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Korean Jungang Medical Journal
1967 Volume.13 No. 4 p.391 ~ p.394
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Fibrosarcoma of Heart
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朴炳文/Park, B.M.
趙龍根/金湘辰/최인준/全圭坰/Cho, Y.K./Kim, S.C./Choi, I.J./Chun, K.K.
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Abstract
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Malignant tumors primarily in the heart are rare, and moreover fibrosarcoma of heart is of much rare occurrence. In 1700 & 1762, Boneti & Morgagni, at first, reported the primary fibrosarcoma of heart. Mahaim(1945) Collected 329 cases of the tumors of hearts& 84 Cases of the tumors of pericardium, in the literatures, and 87 cases of a total 413 cases were in the heart & 20 cases were also sarcoma in the pericardium. In 1931, Yater reported 10 cases of primary tumors of pericardium.
A case of clinically and pathologically diagnosed fibrosarcoma, 49 year-old American female is reported, because of its rare occurrence anb also our first expreience of this type of primary malignant tumor of the heart.
Initial symptoms and signs were chest discomfort, anemia and an episode of shock state. She had a history of myopia and thyroidectomy 8 years ago, and of cardiac tamponade 5 months prior to admission. She went to a methodst hospital and was diagnosed by biopsy, fibrosarcoma of Rt. atrium, 5 months prior to admission.
Autopsy examination disclosed massively enlarged heart weighing 2,510 gm. The external surface of heart showed shaggy white gray fibrous appearanec of the tumor. The tumor was completely replacing the epicardium, pericardium, both auricles and ventricles, extending to the ascending aorta and myocardium, but not to the endocardium. The tumor tissue was generally grayish white with jelly-like myxoid appearance and hemorrhage. The circumf erences of the valves were; tricuspid, 9.5; mitral, 7.5; aortic, 6. 5 and pulmonic, 6.0 cm. The right lung was also involved, weighing around 1, 010gm., in which the tumor was spreading along the pleural surface, mainly into the
interlobular septum and also into the small areas of parenclhynia. The left lung was also involved weighing around 540 gm. and the pleural surface of the diaphragm was also involved. Histopathology of the tumor showed fibrosarcoma with scattered areas of my xornatous degeneration and hemorrhage.
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