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. 2010 Sep 30;2(3):e53. doi: 10.4081/rt.2010.e53

Table 1. Extension of metastatic tumors into the left atrium via invasion of pulmonary veins.

Case Reference Age at diagnosis of extension Sex Tumor type Symptom at diagnosis Treatment for intra-atrial tumor Consequence after diagnosis
1 Funakoshi Y et al. (present study) 31 M Ewing sarcoma None Palliative operation Alive
(6 mo AO)
2 Collins et al.4 57 F Leiomyo sarcoma None None* Arterial occlusion and stroke soon after detection*
3 Woodring et al.5 64 M Chondrosarcoma Headache, left-side facial drop (Refused surgery) Palliative RT and adriamycin Died from metastases
(9 mo AD)
4 Ishibashi et al.6 63 F Malignant fibrous histiocytoma None CR Alive
(15 mo AO)
5 Heslin et al.7 23 F Synovial sarcoma None CR Alive
(16 mo AO)
6 Gandhi et al.8 63 M Osteosarcoma Hemiplegia Best supportive care Not described
7 Senbo et al.9 35 F Osteosarcoma Palpitation, syncopal attack CR, adjuvant cisplatin Died from metastases
(11 mo AO)
8 Vargas-Barron et al.10 55 F Carcinoma of the cervix Hemiplegia, aphasia CR Alive and well
(2 y AO)
9 Gardner et al.11 28 M Chondrosarcoma Chest pain CR Died from local recurrence, lung
(10 mo AO)
10 Boland et al.12 26 M Chondrosarcoma Hemiplegia, pleuristic chest pain, shortness of breath CR Died from metastases
(4 mo AO)
11 Maclowry et al.13 28 F Chondrosarcoma Headache, facial weakness, blurred vision Chemotherapy Died from brain metastases
(23 d AS)

All surgeries were conducted under cardiopulmonary bypass.

*

Soon after detection by X-ray and CT scan, the patient developed systemic emboli (peripheral arterial occlusion and stroke).

Treatment was an embolectomy for peripheral occlusion. Prognosis and follow-up period were not described.

RT, radiation therapy; CR, complete resection (gross complete resection); AO, after operation; AD, after detection; AS, after symptoms.