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Acta Medica Iranica، جلد ۵۶، شماره ۱، صفحات ۶۷-۷۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی A Road to the Heart From Uterine Closet: A Case Report
چکیده انگلیسی مقاله Angiosarcomas of the uterine is a malignant and poor prognostic tumor and can either be a primary sarcoma or arising secondary to radiotherapy of a more complex tumor. Primary uterine angiosarcomas are exceptional and probably arise from embryonic vascular remnants, teratoma or from the rich uterine vasculature. We reported a rare case of primary angiosarcoma of uterine that at the time of diagnosis presented with sign and symptom of local and distant metastasis. The patient presented with dyspnea, chest pain, and history of vaginal bleeding and pelvic pain. The physical exam revealed pallor, prominent jugular pulse pressure, a palpable fixed mass in the pelvic however vaginal exam was unremarkable. Transthoracic echocardiography (TTE) revealed massive pericardial effusion and also a large mass in the right atrium. The abdominal ultrasound showed echogenic and poor echogenic segments in uterine mass combined with central necrosis. The patient underwent total hysterectomy and Bilateral salpingo-oophorectomy followed by radiotherapy and adjuvant chemotherapy. The patient underwent open heart surgery with resection of cardiac mass and further received a four cycle of radiotherapy (50 MG) to the mediastinum. The further follow-up (6 month) revealed no recurrence of tumor in a mediastinum. However, patient died from metastasis to the liver and its hepatic failure sequels.
کلیدواژه‌های انگلیسی مقاله Uterine sarcoma,Metastasis,Cardiac involvement
نویسندگان مقاله فریدون سبزی | feridoun sabzi
department of cardiac surgery, kermanshah university of sciences, imam ali hospital, kermanshah, iran.


دنیا خسروی | donya khosravi


نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/5912
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/56/article-56-572184.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Case Report(s)
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