Extensive Thoracic Organ Resection for a Patient Who Harbors Spindle Cell Sarcoma

Authors

  • Wichaya Withurawanit Cardiothoracic Surgical Unit, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 10400
  • Piya Cherntanomwong Cardiothoracic Surgical Unit, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 10400

Abstract

Because of its rarity, there has been no standard treatment protocol for spindle cell sarcoma of the pericardium. Benefits of chemotherapy and radiation remain elusive. As a result of this, surgery is the mainstay of treatments. However, there was a phenomenal report of combination of chemotherapy, radiation and surgery treating a single patient who had survived at least 14 years after diagnosis1. Here, we reported a patient with non-metastatic spindle cell sarcoma of the pericardium who underwent aggressive thoracic surgery.

References

1. Basso C, Valente M, Poletti A, Casarotto D, Thiene G. Surgical
pathology of cardiac and pericardial tumors. Eur J
Cardiothorac Surg 1997;12:730-7.

2. Rajhi NA, Hausain S, Coupland R, McNamee C, Jha N. Primary
pericardial Synovial sarcoma. A case report and literature
review. J Surg Oncol 1999;70:194-8.

3. Kim NH, Kweon KH, Oh SK, et al. A case of primary undifferentiated
pericardial sarcoma. J Korean Med Sci 2003;18:
742-5.

4. Lajos P, Choo E, Hasaniya N, Ehrman W, Razzouk A. Spindle
cell sarcoma of the pericardium: a case report. J Card Surg
2004;19:139-41.

5. Van der Mieren G, et al. Pericardial synovial sarcoma: 14-
year survival with multimodality therapy. Ann Thorac Surg
2004;78:e41-2.

6. Vaporciyan AA, Rice D, Correa AM, et al. Resection of
advanced thoracic malignancies requiring cardiopulmonary
bypass. Eur J Cardiothorac Surg 2002;22:47-52.

7. Iskander SS, Nagueh SF, Ostrowski ML, Reardon MJ. Growth of
a left atrial sarcoma followed by resection and autotransplantation.
Ann Thorac Surg 2005;79:1771-4.

8. Reardon MJ, DeFelice CA, Sheinbaum R, Baldwin JC. Cardiac
autotransplant for surgical treatment of malignant neoplasm.
Ann Thorac Surg 1999; 67;1793-5.

9. Wang CH, Yu HY, Chi NS, et al. Complete excision of primary
cardiac malignant fibrous histiocytoma involving the left
atrial free wall and mitral annulus by modified autotransplantation.
J Thorac Cardiovasc Surg 2006;131:731-3.

Downloads

Published

2009-06-30

How to Cite

1.
Withurawanit W, Cherntanomwong P. Extensive Thoracic Organ Resection for a Patient Who Harbors Spindle Cell Sarcoma. Thai J Surg [Internet]. 2009 Jun. 30 [cited 2024 Nov. 23];30(1-2). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227662

Issue

Vol. 30 No. 1-2 (2009): January - June

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.