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- Title
A novel approach for a novel combination: a trans-septal biopsy of left atrial mass in recurrent phyllodes tumour.
- Authors
Colette E. Jackson; Roy S. Gardner; Derek T. Connelly
- Abstract
A 69-year-old female with a previous hemisternectomy for recurrent phyllodes tumour was referred for echocardiography because of progressive dyspnoea, orthopnea, and a diastolic mitral rumble on auscultation. Transthoracic echocardiography revealed a large left atrial mass. Although a diagnosis of myxoma was likely, there was concern that this was a cardiac metastasis. A tissue diagnosis was mandatory before further thoracic surgery could be considered. This was obtained via a trans-septal puncture using transoesophageal echocardiographic guidance. Histology confirmed a diagnosis of myxoma, and our patient underwent successful surgery. This case highlights the importance of obtaining accurate tissue diagnosis and of excluding metastatic disease in patients with a cardiac mass and a history of tumour, prior to deciding whether surgical excision is warranted.
- Subjects
BREAST surgery; BREAST tumors; HEART biopsy; DISEASES in older women; ECHOCARDIOGRAPHY; MYXOMA; THORACIC surgery; METASTASIS; SURGICAL excision; DIAGNOSIS
- Publication
European Journal of Echocardiography, 2009, Vol 10, Issue 1, p171
- ISSN
1525-2167
- Publication type
Article