Cat Enlarged Heart

The treatment options for a rare medical condition

A female one of 41 years was diagnosed with a rare condition ae" a cunning tumor of the heart. Confused as for how to proceed with the treatment of his condition, she received recommendations for the medicines and the amplest tests of a Medical Opinion specialist online medical.

The patient is a 41 female years diagnosed with cardiac angiosarcoma. She does not have any significant medical history, safe a lightly enlarged heart (cardiomegaly) since the birth, uniformly checked and without equalling pathological.

The patient had tested the pain in the region of pericardial that was examined but with no defined diagnosis. The patient planned an appointment to a hospital of external patient for the amplest investigation and the medical treatment.

Entretemps, the patient was hospitalized for presumed, subsequent pericarditis to the fever appearance.

The scanographie tomodensitomedtrie executed confirmed a neoformation affecting the upright auricle. She underwent then a cardiac biopsy that diagnosed a cardiac angiosarcoma.

The patient was afterward depending to an operation for the abduction of the mass of just endoatrial and for the reconstruction of the wall with the autologous pedricarde.

The histological falls were sent to a cancer institute, that confirmed the diagnosis of an Angiosarcoma of the type of epithelioid.

The favorite animal, the scintigraphy of bone and the imagery of executed MRI furnished next contrasted results in the matter of the final bone and in the matter of the hepatic metastasis.

Online consultation of Doctor ae" the Medical Questions: The patient asked ampler examinations to a consultation of online doctor as for an and/or of final treatment to be executed.

Report experts and Opinion

Summarized: The woman of 41 years in the good health with the pains in the left chest. Hospitalized with the fever and the diagnosis of pericarditis. The pool of abdomen of chest of CT showed an abnormality in the upright auricle. Transthorasic ECHO showed cm to a mass of just atrial that measures 4.4x3.4 and adjacent to the lateral wall. She had a biopsy of the mass of atrial by catheterization, and pathology revealed angiosarcoma. She had then the resection of the mass of just endoatrail with the reconstruction with the autologous pedricarde, and she posted well the operation. Pathology was confirmed as Angiosarcoma, the type edpithedlial to a cancer institute. CT OF FAVORITE ANIMAL showed the increased admission in the residual just side of the heart (that could reflect recent surgery or is the residual sarcome), with the increased admission in D4, and in the pool close to the just acetabulum thought to represent the bone engagement, and a sector circumscribes increased activity in the posterior margin of the second hepatic segment. The CT of the abdomen of chest and of pool did not have abnormality to party the mass in the atium. I did not see a report of a sweeping of bone or of a MRI of the thorn in the reports, or the pictures on the CD accompanying. The margins were not noted on the way report.

Impression

Angiosarcoma presents itself in the upright auricle, crudely resected, that by the description morphologique seems to be the high degree. The present showed the engagement of metastatic possible by FAVORITE ANIMAL in D4 and the sector of just acetabulum, and probably a small home in the liver (with the CT c/a/not revealing evident p met), with the admission in the just side of the heart (the post operation physiologique probable).

Treatment options

The sarcome of the heart including angiosarcoma of the heart is a very rare tumor. The resection brute can be possible but there is a high probability of hematogenously of distant broadcasting. There is not standard approach of treatment because of the small number of case. Our approach was to treat additive with the chemotherapy in the patients with no evident distant disease. We used Adriamycin and Ifosphamide for 6 cycles if the expulsion fraction is sufficient. We did not use the radiance to the heart. If the expulsion fraction is poor, then the choice of drugs changes to Ifosphamide and to vice-predsident-16. Angiosarcomas can have a good response to Taxol and treating with Taxol is reasonable. We used Taxol the weekly data to treat angiosarcomas that is metastatic with the good success, but did not have a cardiac sarcome that was subcategory of angiosarcoma.

If the patient has the shed disease then the prognostic is very engraves, and the treatment would be palliative but would include the same drugs: Taxol; adriamycin and Ifosphamide; Ifosphamide and vice-predsident-16. The other possibilities that can have activity are Gemzar with Taxotere; and AND-743 that always is experimental in the United States, but is available on a compassionate basis. If does not do, a sweeping of bone and a MRI of the back thorn and the pool can help to determine if the patient has the distant disease, but this could always remain equivocal. The treatment for 3 cycles follow by can be restaging serviable to determine the disease range.