Use of fine-needle puncture under endosonographic control in the diagnosis of left atrium sarcoma – case report
https://doi.org/10.17650/2949-5857-2023-13-4-68-71
Abstract
Background. Over the past 30 years, with the development of endoscopic technologies and the advent endoscopic ultrasound-guided fine-needle aspiration (EuS-FnA) it has become possible to diagnose with preliminary verification of cardiac tumors, which in turn is an undoubted advantage in detecting cardiac pathology. A rare clinical case is presented: the detection of a tumor of the left atrium using high-tech endoscopic techniques, in particular a EuS-FnA. when studying the surgical material using immunohistochemistry and FISH hybridization, the final diagnosis sounded like intimal sarcoma. Diagnosis of intimal sarcoma is a complex clinical task, and difficulties in making a diagnosis delay the duration of treatment. Our experience demonstrates the modern role of endoscopy as a minimally invasive method of diagnosing intracardiac tumors.
About the Authors
M. Yu. Kurdanova
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
Madina Yusupovna Kurdanova
24 Kashirskoe Shosse, Moscow 115522
O. A. Malikhova
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
24 Kashirskoe Shosse, Moscow 115522
L. V. Cherkes
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
24 Kashirskoe Shosse, Moscow 115522
I. A. Karasev
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
24 Kashirskoe Shosse, Moscow 115522
A. A. Salimova
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
24 Kashirskoe Shosse, Moscow 115522
References
1. Wang H.Q., Sun A.Q., Liu P. et al. Clinicopathological features of pulmonary artery and vein intimal sarcomas: case series of rare pulmonary vessel intimal sarcoma. Transl Cancer Res 2021;10(6):3033–43. DOI: 10.21037/tcr-20-3468
2. Moon J.Ch., Park S.W., Kim S.H. et al. Clinical and technical guideline for endoscopic ultrasound (EUS) – guided tissue acquisition of pancreatic solid tumor: Korean Society of Gastrointestinal Endoscopy (KSGE). Gut Liver 2021;15(3): 354–74. DOI: 10.5009/gnl20302
3. Bussani R., Castrichini M., Restivo L. et al. Cardiac tumors: diagnosis, prognosis and treatment. Curr Cardiol Rep 2020;22(12):169. DOI: 10.1007/s11886-020-01420-z
4. Campisi A., Ciarrocchi A.P., Asadi N., Dell’Amore A. Primary and secondary cardiac tumors: clinical presentation, diagnosis, surgical treatment, and results. Gen Thorac Cardiovasc Surg 2022;70(2):107–15. DOI: 10.1007/s11748-021-01754-7
5. Pino P.G., Moreo A., Lestuzzi C. Differential diagnosis of cardiac tumors: General consideration and echocardiographic approach. J Clin Ultrasound 2022;50(8):1177–93. DOI: 10.1002/jcu.23309
6. Nishizaki Y., Yamagami S., Myojin M. et al. A murmur-free giant myxoma discovered incidentally on abdominal ultrasonography. Intern Med 2013;52(22):2529–31. DOI: 10.2169/internalmedicine.52.0373
7. Mankad R., Herrmann J. Cardiac tumors: echo assessment. Echo Res Pract 2016;3(4):R65–77. DOI: 10.1530/ERP-16-0035
8. Fritscher-Ravens A., Ganbari A., Mosse C.A. et al. Transesophageal endoscopic ultrasound-guided access to the heart. Endoscopy 2007;39:385–9. DOI: 10.1055/s-2007-966440
9. Larghi A., Stobinski M., Galasso D. et al. EUS-guided drainage of a pericardial cyst: Closer to the heart (with video) Gastrointest Endosc 2009;70:1273–4. DOI: 10.1016/j.gie.2009.05.006
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