A Long-Term Survival Case after Successful Five-Fold Surgical Intervention for Recurrent Undifferentiated Pleomorphic Sarcoma in the Left Atrium

Tadahiro Murakami＊	Hirokazu Minamimura＊＊	Toshio Baba＊＊
Atsutaka Aratame＊＊

(Department of Cardiovascular Surgery, Osaka Saiseikai-Noe Hospital＊, Osaka, Japan, and Department of Cardiovascular Surgery, Bell Land General Hospital＊＊, Sakai, Japan)

Primary cardiac undifferentiated pleomorphic sarcoma is rare and is associated with very poor survival. We report a case of a 45-year-old female who presented with dyspnea on effort, in whom an echocardiographic exam showed a large mass in the left atrium and the tumor resection was performed. The pathological diagnosis of the resected tumor was undifferentiated pleomorphic sarcoma which subsequently recurred. The patient needed four re-surgeries, and chemotherapy with Pazopanib was performed. A long-term survival of 5 years after the initial surgery was achieved.

 

Jpn. J. Cardiovasc. Surg. 51: 208-212 （2022）

Keywords：cardiac undifferentiated pleomorphic sarcoma; re-surgery; long-term survival; Pazopanib