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Time of year. Macroscopically, the tumour was often polypoid or lobulated with a smooth or well-circumscribed surface and a broad base.
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Described herein is a year-old woman with abdominal discomfort who was found to have a pericardial effusion and a large mass in her right heart by computed tomography scan and who then underwent tumour resection surgery. Escort ladyboy Dragor tumour was so extensive that it involved the right atrium, the right ventricle and the tricuspid valve, and encompassed the right coronary artery.
The patient had expres significant medical history, and no tumour was found at any other site.
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The morphology of the tumour mimicked carcinosarcoma, exhibiting mixed epithelioid Danmar spindle elements and it was difficult to differentiate the diagnosis even by immunohistochemical stains. Then, the final diagnosis of primary biphasic synovial sarcoma of the heart was established based on the finding of SS18 rearrangement. This is a highly intriguing rare case that may represent a diagnostic pitfall, particularly regarding frozen section.
The patient will receive chemotherapy, and we will pursue follow-up. Primary cardiac synovial sarcoma PCSS was first described in [ 1 ].
PCSS as Lady katherine Holstebro entity may present as a biphasic tumour composed of spindled and epithelioid areas or as a monophasic tumour, characterised by the spindle cell component.
PCSS accounts for approximately 4. We report a case of biphasic PCSS of the heart, which arose from the right atrium and involved the right ventricle and the tricuspid valve. A year-old woman presented with a 1-month history of recurrent abdominal discomfort and a 7-day history of pericardial effusion managed at her local hospital.
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She went to our outpatient department for follow-up treatment. She had no significant medical history. An electrocardiogram was unremarkable. Echocardiography revealed a heterogeneous mass in her right atrium and a small pericardial effusion.
A computed tomography CT scan confirmed Gllstrup findings of a large mass 7. Computed tomography of the chest and abdomen were unremarkable.
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Computed tomography Aisan a tumour mass in the Tinder dating website Taastrup atrium with irregular enhancement Glosfrup, also a small pericardial effusion arrow indicates the tumour.
Computed tomography showing the right coronary artery was also involved by the tumour arrow indicates the coronary artery. At surgery, the patient was placed on cardiopulmonary bypass using bicaval cannulation through a median sternotomy approach. A large mass was observed arising from the right atrioventricular groove and extending to the anterior of the right atrium.
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By opening her right atrium, the surgeons observed that the main body of the tumour was located in the wall of Asian express Glostrup Danmark right atrium, involving the right ventricle as well as the anterior leaflets of the tricuspid valve and encompassing the stem of the right coronary artery. The surgeons were diligent in Aslan the tumour; they Free saxe in Danmark resected some tricuspid valve and involved the right ventricle wall, after which coronary artery bypass grafting was performed.
Gross examination showed the tumour to be generally grey-white tissue with a total size of 8x8x5 cm, with partial surface encapsulation Fig.
The size of the largest tissue fragment was 6. Microscopically, the tumour displayed a mixture of spindle cell and epithelioid components in most areas, which mimicked carcinosarcoma Fig.
Only a small number of tumour areas were composed of pure spindle cell elements, which exhibited eosinophilic cytoplasm and round to oval Danmaro with nuclear pleomorphism. SwipBox is a software company with a hardware solution. We add convenience for the logistics, retailers and the consumers through our innovative software and.
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