ABSTRACT
Introduction: Tumors of the heart represent an exceedinglyrare entity in cardiac surgery and literature regardingmanagement and outcome is less in comparison to other fieldsof cardiac surgery. 12 years of our experience in both diagnosisand optimal surgical treatment of this small but rare collectionof patients was formed into a detailed analysis of patientprognosis, mean survival and risk of tumor relapse matchedto the corresponding pathology. The overall objective of thepresent study was a thorough characterization of both primarycardiac tumor or tumor like mass and secondary malignanttumor mass in cardiac chambers, their nature as well as ageand gender distribution and management.Material and methods: 17 patients with cardiac tumors,who underwent open-heart surgery at Medical College andHospitals, Kolkata, for tumor excision between 2007 and2019 were analyzed retrospectively. Mean follow-up wasfrom 11 to 1 years.Results: There were 2 males and 15 female patients rangingin age from 7 years to 60 years, median age being 47 years.12 of these tumors were primary left atrial myxoma, 2 wereright atrial myxoma, 1 was right ventricular fibroma, 1 wasintravenous extension into right atrium of renal cell carcinomaand 1 was multiple inflammatory pseudo tumors in leftventricle. Overall operative survival was 88.3%. Operativemortality was 11.7%.Conclusion: Cardiac tumors remain challenging in theclinical setting. Early operation is recommended afterechocardiographic diagnosis as such patients can have suddendeath or severe cardiac failure during preoperative waitingperiod. Follow up should be maintained based upon thehistopathological diagnosis.
ABSTRACT
El seudotumor inflamatorio es un proceso no neoplásico poco frecuente, caracterizado por un crecimiento irregular de células inflamatorias. Puede originarse en cualquier lugar del organismo y, en la mayoría de los casos, presenta un asentamiento local único y de características benignas. Se presentó el caso de un varón de 51 años, en el que se manifestó el seudotumor inflamatorio de forma nodular en el pulmón derecho, con evolución a un empiema pleural.
The inflammatory pseudo tumor is a few frequent non neoplastic process, characterized by an irregular increase of inflammatory cells. It can be originated in any place of the organism, and in most of the cases it has only one local settlement with benign characteristics. We presented the case of a male patient, aged 51 years who had the inflammatory pseudo tumor of nodular form in the right lung, with evolution to a pleural empyema.
ABSTRACT
Inflammatory pseudo-tumor of spleen, a benign reactive lesion of unknown etiology and pathogenesis, is extremely rare with isolated case reports in literature. These are usually misdiagnosed preoperatively, both clinically and radiologically; metastasis or lymphoproliferative disorders with pathological studies allow reliable diagnosis of the disease. We report the unusual occurrence of this lesion in the spleen.