Abstract
A 31-year-old woman presented with general malaise, back pain, and edema of the lower extremities. A chest X-ray film showed an enlarged cardiac shadow and clear lung fields. A pericardial lesion with decreased activity on blood pool imaging and increased uptake on gallium citrate imaging displaced the heart upwards and to the left. The pericardial mass showed an inhomogencous signal intensity on MRI and was large enough to obstruct the venous return by compressing the heart. At operation, the mass was found to originate from the pericardium and was histologically identified as a malignant fibrosarcoma. Twelve years previously, the patient had undergone an operation for the removal of a pericardial tumor which was histologically identified as a benign hemangioma. In view of the rarity of pericardial tumors, the present tumor is suspected to have undergone a transformation from benign hemangioma to malignant fibrosarcoma.
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References
Ackerman L, Reyes CV, Freeman ML, Kaplan E (1984) Gallium-67 uptake in hepatic angiosarcoma. J Nucl Med 25:677–678
Amparo EG, Higgins CB, Farmer D, Gamsu G, McNamara M (1984) Gated MRI of cardiac and paracardiac masses: initial experience. AIR 143:151–156
Baldelli P, Angelli DD, Dolara A, Diligenti LG, Marchi F, Salvatore L (1972) Primary fibrosarcoma of the heart. Chest 62:234–236
Bidula LP, Maurer AH, Denenberg BS, Charkes NA, Spann JF, Malmud LS (1983) Multiple scintigraphic findings in a patient with a primary myocardial sarcoma. Clin Nucl Med 8:474–477
Dong E, Hurley EJ, Shumway NE (1962) Primary cardiac sarcoma. Am J Cardiol 10:871–878
Hall RJ, Cooley DA (1986) Neoplastic disease of the heart. In: Hurst JW, Logue RB, Rackley CE, et al. (eds) The heart, 6th edn. McGraw-Hill, New York, pp 1284–1304
Hoffer P (1979) Gallium mechanisms. J Nucl Med 20:837–842
Selzer A, Sakai FJ, Popper RW (1972) Protean clinical manifestations of primary tumors of the heart. Am J Med 52:9–18
Winzelberg GG, Rapoport F, Boucher CA, Carey RW, McKusick KA, Strauss HW (1981) Combined gated cardiac blood pool scintigraphy and Ga-67 citrate scintigraphy for detection of cardiac lymphoproliferative disorder. Radiology 141:191–192
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Hayashida, K., Nishimura, T., Kumita, Si. et al. Abnormal67Ga uptake in a fibrosarcoma of the pericardium with malignant transformation. Eur J Nucl Med 16, 837–839 (1990). https://doi.org/10.1007/BF00833020
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DOI: https://doi.org/10.1007/BF00833020