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Case Report
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| A case of pericardial angiosarcoma with refractory pericardial tamponade treated with multidisciplinary therapy with pericardial fenestration, radiotherapy and chemotherapy | ||||||
| Hirano Satoshi1, Yamanaka Kyoko2, Ichinose Shuji3, Ikeda Atsushi4, Hayama Noriko5, Shimizu Shinichiro6, Aruga Takashi7, Uchida Osamu8, Nakamura Sukeyuki9 | ||||||
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1Manager, Department of Medical Oncology, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan.
2Senior resident, Division of Cardiology, Funabashi Municipal Medical Center Heart and Vascular Institute, Funabashi, Chiba, Japan. 3Assistant manager, Department of Thoracic Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan. 4Assistant manager, Division of Cardiology, Funabashi Municipal Medical Center Heart and Vascular Institute, Funabashi, Chiba, Japan. 5Chief physician, Department of Respiratory Medicine, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan. 6Manager, Laboratory Division of Pathology, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan. 7Manager, Department of Radiation Oncology, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan. 8Manager, Department of Thoracic Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan. 9Manager, Department of Respiratory Medicine, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan. | ||||||
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| Satoshi H, Kyoko Y, Shuji I, Atsushi I, Noriko H, Shinichiro S, Takashi A, Osamu U, Sukeyuki N. A case of pericardial angiosarcoma with refractory pericardial tamponade treated with multidisciplinary therapy with pericardial fenestration, radiotherapy and chemotherapy. Int J Case Rep Images 2015;6(11):707–711. |
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Abstract
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Introduction:
Outcomes for patients with pericardial angiosarcoma, especially with metastatic disease are very poor, even when these patients are treated with chemotherapy or radiotherapy.
Case Report: This report describes a case of a 50-year-old male with pericardial angiosarcoma presenting with cardiac tamponade. Repeat pericardiocentesis showed bloody fluid with cytopathology negative for malignant cells. Pericardial fenestration was performed to prevent recurrent pericardial tamponade due to poor drainage. A diagnosis of cardiac angiosarcoma was made based on the resected pericardium and a biopsied specimen from gluteus medius muscle. The patient responded to combination therapy with docetaxel and radiotherapy. However, the patient died four months after diagnosis due to intraperitoneal bleeding from liver metastases. The patient was not dependent on a chest tube or a pericardial drain before he died. At autopsy, only a small amount of residual tumor was revealed around the heart. Conclusion: There is a possibility that palliative local control against refractory cardiac tamponade could be obtained via multidisciplinary therapy with pericardial fenestration, radiotherapy, and chemotherapy. | |
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Keywords:
Cardiac tamponade, Multidisciplinary therapy, Pericardial angiosarcoma, Pericardial fenestration, Radiotherapy
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Author Contributions
Satoshi Hirano – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kyoko Yamanaka – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Shuji Ichinose – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Atsushi Ikeda – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Noriko Hayama – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Shinichiro Shimizu – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Takashi Aruga – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Osamu Uchida – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Sukeyuki Nakamura – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Satoshi Hirano et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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