Malignant fibrous histiocytoma as a rare cause of acute limb ischemia
Authors:
J. Pobehová 1; M. Zavacká 1; P. Závacký 2; P. Pobeha 3; M. Koščo 4; M. Frankovičová 1
Authors place of work:
Klinika cievnej chirurgie, LF Univerzity P. J. Šafárika a VÚSCH, Košice
prednosta: prof. MUDr. M. Frankovičová, PhD.
1; I. Chirurgická klinika UNLP a LF P. J. Šafárika, Košice
Prednosta: prof. MUDr. J. Radoňak, PhD.
2; LF Univerzity P. J. Šafárika, Košice
dekan: prof. MUDr. D. Pella, PhD.
3; Angiologické oddelenie Kliniky kardiológie, VÚSCH, a. s., Košice
prednosta: prof. MUDr. G. Valočik, PhD.
4
Published in the journal:
Rozhl. Chir., 2017, roč. 96, č. 5, s. 218-223.
Category:
Case Report
Summary
Malignant fibrous histiocytoma (MFH) represents a rare malignant affection of heart and aorta. Its clinical presentation depends on the localisation, size, degree of invasion and metastasis. Previously, relatively few cases of acute tumour mass embolisation into the visceral and limb arterial system were described in the literature. In the present case study we describe a case of acute ischemia of both lower extremities caused by thromboembolic mass of MFH cells. According to literary sources this tumour type is characterized by poor prognosis as it was in the case of our patient.
Keywords:
acute limb ischemia − peripheral embolisation − Fogarty embolectomy − malignant fibrous histiocytoma
Zdroje
1. Štvrtinová V, Choroby ciev. Bratislava, SAP 2008:896.
2. Cronenwett J, Johnston KW. Rutherford´s vascular surgery. 6th ed., Saunders 2005:5678−86.
3. Becquemin J, Kovarsky S. Arterial emboli of the lower limbs: Analysis of risk factors for mortality and amputation. Ann Vasc Surg 1995;9:32.
4. Jivegard L, Holm J, Schersten T. Acute limb ischemia due to arterial embolism or thrombosis: influence of limb ischemia versus pre-existing cardiac disease on postoperative mortality rate. J Cardiovasc Surg (Torino) 1988;29:32−6.
5. Abbott W, Maloney R, McCabe C, et al. Arterial embolism: A 44-year perspective. Am J Surg 1982;143:460.
6. Eason J, Mills J, Beckett W. Hypercoagulable states in arterial thromboembolism. Surg Gynecol Obstet 1992;174:211.
7. Čertík B. Akutní končetinová ischemie. Praha, Grada Publishing 2003:147.
8. Karetova M, Staněk J. Angiologie pro praxi. Praha, Maxdorf Jessenius 2001:311.
9. Straus R, Merliss R. Primary tumor of the heart. Arch Pathol 1945;39:74–8.
10. Neragi-Miandoab S, Kim J, Vlahakes GJ. Malignant tumours of the heart: A review of tumour type, diagnosis and therapy. Clin Oncol 2007;19:748−56.
11. Burke AP, Cowan D, Virmani R. Primary sarcomas of the heart. Cancer 1992;69:387–95.
12. McAllister H, Fenoglio J. Atlas of tumor pathology. 2nd series. Fascicle 15 American Registry of Pathology/Armed Forces Institute of Pathology, Washington, D.C. 1978:1–3.
13. Yu K, Liu Y, Wang H, et al. Epidemiological and pathological characteristics of cardiac tumors: A clinical study of 242 cases. Interact Cardiovasc Thorac Surg 2007;6:636–9.
14. Crawford ES, Crawford JL. Diseases of the Aorta. Baltimore/London, Williams & Wilkins 1984:450−66.
15. Tejada E, Becker GJ, et al. Malignant myxoid emboli as the presenting feature of primary sarcoma of the aorta (Myxoid malignant fibrous histiocytoma): A case report and review of the literature. Clin Cardiol 1991;14:425−30.
16. Schmid E, Port SJ, Carroll RM, et al. Primary metastazing aortic endothelioma. Cancer 1984;54:1407−11.
17. Chen KTK. Primary malignant fibrous histiocytorna of the aorta. Cancer 1981;48:840−4.
18. Kattus AA, Longmire WP, Cannon, et al. Primary intraluminal tumor of the aorta producing malignant hypertension. Successful surgical removal. N Engl J Med 1960;262:694−700.
19. Kimbrell OC, Kaasa LJ. Primary intraluminal aortic myxoma with involvement of several vertebrae. J Am Med Assoc 1973;226:350−460.
20. Karhoff B. Primärtumor der Aorta. Zentralblatt für Allgemeine Pathologie und Pathologische Anatomie 1952:46−89.
21. Smeloff EA, Recce JM, Masters JH. Primary inlraluminal malignant tumor of the aorta. Am J Cardiol 1965;15:107−10.
22. Zeitlhofer J, Holzner JH, Krepler P. Primäres Fibromyxosarkom der Aorta. Krebsarzt 1963;18:259−69.
23. Weinberg DS, Maini BS. Primary sarcoma of the aorta associated with a vascular prosthesis: A case report. Cancer 1980;46:398−402.
24. Wright EP, Virmani R, Glick AD, et al. Aortic intimal sarcoma with embolic metastases. Am Surg Pathol 1985;9:890−7.
25. Oh SJ, Yeom SY, Kim KH. Clinical implication of surgical resection for the rare cardiac tumors involving heart and great vessels. J Korean Med Sci 2013;28:717–24.
26. Hsieh SC, Chen CY, Chan WP. Malignant fibrous histiocytoma of the heart: A case report. Acta Cardiol 2010;65:85–7.
27. Sheikh AA, Ahmad M, Lone AR, et al. Cardiac metastasis in malignant fibrous histiocytoma. Saudi Med J 2008;29:1041–3.
28. Milicic D, Juretic, A, Bulum, J, et al. Primary malignant fibrous histiocytoma of the heart with skeletal muscles metastases. J Card Surg 2007;22:513–6.
29. Pimentel J, Fernandes AC, Silva R, et al. Brain metastases of a malignant fibrous histiocytoma presenting as an acute cerebral hemorrhage. Clin Neuropathol 2001;20:64–9.
30. Bakaeen FG, Reardon MJ, Coselli JS, et al. Surgical outcome in 85 patients with primary cardiac tumors. Am Surg 2003;186:641–7.
31. Sun J, Liu R, Wang W, et al. Primary cardiac malignant fibrous histiocytoma with vulvar metastases: A case report. Oncology Letters 2015;10:3153−6.
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Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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