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CASE REPORT

Simultaneous surgical treatment of epithelial liomyosarcoma and coronary artery insufficiency disease

Luís Alberto Dallan; Sérgio Almeida de Oliveira; Raimunda Violante Assis; Léa Macruz Silva; José Carlos R Iglézias; Geraldo Verginelli; Adib D Jatene

DOI: 10.1590/S0102-76381991000300012

ABSTRACT

The authors describe a case of a 64 year-old woman with a four-year history of angina. The patient was operated upon under standart cardiopulmonary bypass and had received two saphenous vein grafts and an internal mamary artery graft, concomitant with a mediastinal mass resection. The histological tumor diagnosis was epithelial leiomyosarcoma. The patient had first presented, 13 years ago, an uterine fibrosis, that had been resected. The radiograph diagnosis of the tumor was difficulted by several pleural opacities secondary to a previous pulmonary tuberculosis and a left thoracotomy. This rare association and the validity of the simultaneous surgical procedure are here emphasided.

RESUMO

É descrito o caso de uma paciente portadora de angina há quatro anos, que se instabilizou nos últimos seis meses. Foi submetida a revascularização do miocárdio, através da realização de enxertos de artéria esquerda e de duas pontes de veia safena, além da ressecção de massa mediastinal, cujo exame histológico revelou leiomiossarcoma epitelióide. A paciente fora histerectomizada há 13 anos, e o diagnóstico radiológico precoce do tumor foi dificultado devido a paquipleuriz e a fibroses torácicas decorrentes de tuberculose pulmonar e de toracotomia prévia. Destacamos a raridade dessa associação e a validade do procedimento cirúrgico simultâneo.
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REFERENCES

1. ANTUNES, M. J.; VANDERDONCK, K. M.; ANDRADE, C. M.; REBELO, L. S - Primary cardiac leiomyosarcomas. Ann. Thorac. Surg., 51 999-1001, 1991. [MedLine]

2. DAHAL, I.; & ANGERVALL, L. - Cutaneous and subcutaneous leiomyosarcoma: a clinicopathologic study of 47 patients. Pathol. Europ., 9: 307-315, 1974.

3. DONNER, L.; DELLANEROLLE, P.; COSTA, J. - Immunoreactivity of paraffin-embedded normal tissues and mesenchymal tumor for smooth muscle myosin. Am. J. Clin. Pathol., 80: 677-681, 1983. [MedLine]

4. FIELDS, J. P., & HELWIG, E. B. - Leiomyosarcoma of the skin and subcutaneous tissue. Cancer, 47: 156-169, 1981. [MedLine]

5. LILLO-GIL, R.; ALBRECHTSON, V.; JAKOBSON, B. - Pulmonary leiomyoarcoma appearing as a cyst: report of one case and review of the literature. Thorac. Cardiovasc. Surg., 33: 250-252, 1985. [MedLine]

6. MACKAY, B.; RO, J.; FLOYD, C.; ORDONEZ, N. G. - Ultrastructural observations on smooth muscle tumors. Ultrastruct. Pathol., 11: 593-607, 1987. [MedLine]

7. MALDONADO, J.; REBELO, L. S.; ANTUNES, M.; PROVIDENCIA, L.; LOPES, M. R. - Os tumores cardfacos primárlos: a propósito de urn caso clínico. Rev. Port. Cardiol., 10: 259-262, 1991. [MedLine]

8. MUPHY, M. C.; SWEENWY, M. S.; PUTNAM Jr., J. B. - Surgical treatment of cardiac tumors: a 25 year experience. Ann. Thorac. Surg., 49: 612-618, 1990.

9. ROBBINS, S. L. - Pathology. Philadelphia, W. B. Saunders Company, 3. ed. 1969, cap. 4.

10. ROSAI, J. - Ackerman's surgical pathology, 1989. Vol. 2, cap. 25.

11. SALM, R.; & EVANS, D. J. - Myxoid leiomysarcoma. Histopathology, 9: 159-169, 1985. [MedLine]

12. SHAW, R. R.; PAULSON, D. L.; KEE, J. L. LOVETT, V. F. - Primary pulmonary leiomyosarcomas. J. Thorac. Cardiovasc. Surg., 41: 430-436, 1961.

13. SHERON, N.; GRIFFITHS, M.; JOHNSON, N. M. - Metastatic uterine leiomyosarcoma in association with recurrent lung abcess. Thorax, 44: 597-598, 1989. [MedLine]

Article receive on Wednesday, December 11, 1991

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