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Cardiac granulocytic sarcoma diagnosed by intracardiac echocardiography-guided biopsy

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Abstract

A 52-year-old man presented with clinical and echocardiographic signs of cardiac tamponade. A transthoracic echocardiogram revealed a large right atrial mass that obstructed the superior vena cava flow. Cardiac magnetic resonance imaging and computed tomography demonstrated extracardiac tumour invasion of the free atrial wall extending to the right pulmonary hilus. Intracardiac echocardiography-guided biopsy of the tumour revealed the tissue diagnosis-granulocytic sarcoma of the heart. The patient was effectively treated with radiotherapy, chemotherapy and allogeneic haematopoietic stem cell transplantation. He has remained free of the disease for 12 months after treatment.

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Authors and Affiliations

  1. Department of Cardiology, University Medical Centre Ljubljana, Zaloška 7, 1525, Ljubljana, Slovenia

    Mirta Koželj, Darko Zorman & Blaž Mrevlje

  2. Department of Haematology, University Medical Centre Ljubljana, Zaloška 7, 1525, Ljubljana, Slovenia

    Peter Černelč & Samo Zver

Authors
  1. Mirta Koželj
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  2. Darko Zorman
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  3. Blaž Mrevlje
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  4. Peter Černelč
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  5. Samo Zver
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Correspondence to Mirta Koželj.

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Koželj, M., Zorman, D., Mrevlje, B. et al. Cardiac granulocytic sarcoma diagnosed by intracardiac echocardiography-guided biopsy. Int J Hematol 88, 101–103 (2008). https://doi.org/10.1007/s12185-008-0104-5

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  • DOI: https://doi.org/10.1007/s12185-008-0104-5

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