Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case Report

Background: It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. It...

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Main Authors: Mohammad Kajiyazdi, Amir Hossein Norooznezhad
Format: Article
Language:English
Published: Babol University of Medical Sciences 2021-07-01
Series:Caspian Journal of Internal Medicine
Subjects:
Online Access:http://caspjim.com/article-1-1908-en.html
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author Mohammad Kajiyazdi
Amir Hossein Norooznezhad
author_facet Mohammad Kajiyazdi
Amir Hossein Norooznezhad
author_sort Mohammad Kajiyazdi
collection DOAJ
description Background: It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. Cardiac myxosarcoma is a rare neoplasm that appears to rise from the same cellular source like myxoma. It is difficult to differentiate a myxoma tumor from a myxosarcoma tumor because of its appearance and pathology examination. Myxosercoma tumor requires surgery and chemoradiotherapy, but myxoma is treated only by surgery. Case Presentation: We describe a case of a 58-year-old patient with a left atrium myxosarcoma, presenting with congestive heart failure. Transthoracic echocardiogram (TTE) showed a large polypoid and mobile mass in the left atrium, the patient underwent cardiac surgery and the tumor was successfully extracted, and histopathological result revealed typical features of myxoma. 15 days after surgery, he underwent explorative laparatomy because of progressive GI bleeding. Laparatomy revealed extensive metastatic masses in abdomen and the pathology diagnoses was myxosaroma. Unfortunately, in spite of supportive care, the patient expired on postoperative day one. Conclusion: It is difficult to differentiate a myxoma tumor from a myxosarcoma tumor because of its appearance and pathology examination. Maybe magnetic resonance imaging can help us to achieve more data suggesting malignancy.
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spelling doaj.art-8e95eb8907b94fd7b65dfe1b937f35022022-12-21T21:49:08ZengBabol University of Medical SciencesCaspian Journal of Internal Medicine2008-61642008-61722021-07-0112Supplement 2379382Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case ReportMohammad Kajiyazdi0Amir Hossein Norooznezhad1 Pediatric Hematology and Oncology Ward, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Background: It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. It is a rare cardiac malignant primary tumor that seems to derive from the same cellular line as myxomas, but the prognosis is very different. Cardiac myxosarcoma is a rare neoplasm that appears to rise from the same cellular source like myxoma. It is difficult to differentiate a myxoma tumor from a myxosarcoma tumor because of its appearance and pathology examination. Myxosercoma tumor requires surgery and chemoradiotherapy, but myxoma is treated only by surgery. Case Presentation: We describe a case of a 58-year-old patient with a left atrium myxosarcoma, presenting with congestive heart failure. Transthoracic echocardiogram (TTE) showed a large polypoid and mobile mass in the left atrium, the patient underwent cardiac surgery and the tumor was successfully extracted, and histopathological result revealed typical features of myxoma. 15 days after surgery, he underwent explorative laparatomy because of progressive GI bleeding. Laparatomy revealed extensive metastatic masses in abdomen and the pathology diagnoses was myxosaroma. Unfortunately, in spite of supportive care, the patient expired on postoperative day one. Conclusion: It is difficult to differentiate a myxoma tumor from a myxosarcoma tumor because of its appearance and pathology examination. Maybe magnetic resonance imaging can help us to achieve more data suggesting malignancy.http://caspjim.com/article-1-1908-en.htmlpneumomediastinumpneumopericardiumsubcutaneous emphysemaacute lymphoblastic leukemia
spellingShingle Mohammad Kajiyazdi
Amir Hossein Norooznezhad
Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case Report
Caspian Journal of Internal Medicine
pneumomediastinum
pneumopericardium
subcutaneous emphysema
acute lymphoblastic leukemia
title Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case Report
title_full Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case Report
title_fullStr Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case Report
title_full_unstemmed Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case Report
title_short Pneumomediastinum, Pneumopericardium and Subcutaneous Emphysema Following Acute Lymphoblastic Leukemia and Chemotherapy: a Case Report
title_sort pneumomediastinum pneumopericardium and subcutaneous emphysema following acute lymphoblastic leukemia and chemotherapy a case report
topic pneumomediastinum
pneumopericardium
subcutaneous emphysema
acute lymphoblastic leukemia
url http://caspjim.com/article-1-1908-en.html
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AT amirhosseinnorooznezhad pneumomediastinumpneumopericardiumandsubcutaneousemphysemafollowingacutelymphoblasticleukemiaandchemotherapyacasereport