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.