Myxofibrosarcomas are rare cardiac neoplasms that usually involve the left atrium and present as unicentric or multicentric tumor masses. They can arise from both myocardial and valvular tissue, and can be locally aggressive or show distant metastasis. We describe an unusual case of myxofibrosarcoma involving both the right atrium and ventricle in a 30-year-old man, which was surgically resected. After 12 months of follow-up, there was no recurrence or metastasis.
SilvermanNA. Primary cardiac tumors. Ann Surg1980; 191: 127–138.
2.
SabatineMSColluciWSSchoenFJPrimary tumors of the heart. In: ZipesPZLibbyPBonowROBraunwaldE (eds). Braunwald’s Heart Disease, 7th edn. Philadelphia, PA: Elsevier Saunders, 2005, pp. 1741–1755.
3.
LazarosGAMatsakasEPMadasJSToliDINikasDJKershawMA. Primary myxofibrosarcoma of the left atrium: case report and review of the literature. Angiology2008; 59: 632–635.
4.
BurkeAVirmaniR. Tumors of the heart and great vessels. Atlas of Tumor Pathology, 3rd series, Washington DC: Armed Forces Institute of Pathology, 1996, pp. 127–170.
5.
ButanyJNairVNaseemuddinANairGMCattonCYauT. Cardiac tumours: diagnosis and management. Lancet Oncol2005; 6: 219–228.
6.
BurkeACowanDVirmaniR. Primary sarcomas of the heart. Cancer1992; 69: 387–395.
7.
MentzelTCalonjeEWaddenCCamplejohnSRBehamASmithMA. Myxofibrosarcoma: clinicopathologic analysis of 75 cases with emphasis on the low-grade variant. Am J Surg Pathol1996; 20: 391–405.
8.
WillemsSMDebiec-RychterMSzuhaiKHogendoornPCSciotR. Local recurrence of myxofibrosarcoma is associated with increase in tumor grade and cytogenetic aberrations, suggesting a multistep tumor progression model. Mod Pathol2006; 19: 407–416.
9.
KitamuraNYamaguchiAMikiTNojiSOtakiMKurataA. Autotransplantation as optimal technique for recurrent malignant myxoma of left ventricle. Nippon Kyobu Geka Gakkai Zasshi1993; 41: 445–451.
10.
KimDGLeeSYChungSKParkSKChunYKChiJG. Brain metastasis from myxofibrosarcoma of the heart. Acta Neurochir (Wien)1997; 139: 88–89.