Primäres Synovialsarkom der Lunge: ein sehr seltener Lungentumor

Autor:	A. Skuballa, R. Achatzy, P. Leonhardt, T. Bossert, C. Wittekind, B. Krieghoff, Friedrich W. Mohr
Rok vydání:	2002
Předmět:	medicine.medical_specialty Chemotherapy Lung medicine.diagnostic_test business.industry medicine.medical_treatment Extracorporeal circulation medicine.disease Synovial sarcoma Surgery Radiation therapy Pneumonectomy medicine.anatomical_structure Bronchoscopy Mitral valve medicine business
Zdroj:	Zentralblatt für Chirurgie. 127:716-719
ISSN:	1438-9592 0044-409X
DOI:	10.1055/s-2002-33580
Popis:	We present a 26 year old patient with a primary malignant synovial sarcoma of the lung that was observed for more than one year by a general practitioner and a pulmologist. Finally, because of recurrent hemoptysis a central tumor of mesenchymal origin of the left lower lobe was diagnosed by bronchoscopy. The invasion of the left atrium as far as to the mitral valve was diagnosed by MRT. The patient was operated on by extended pneumonectomy with extracorporeal circulation. The partial excision of the left atrium required plastic reconstruction. In the postoperative course the patient underwent chemo-therapy, 6 cycles adriablastine/ifosfamid. 8 months after the first operation an extensive tumor recurrency occurred with infiltration of the chest wall. The patient refused further radio- or chemotherapy and died 14 months after the operation. Because of the small number of cases therapeutic strategy conceptions do not exist. The resection of the tumor is generally recommended. Chemo- and radiotherapy are accepted as an option for advanced tumor stage.
Databáze:	OpenAIRE
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