Management of device-related malignant sarcoma

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Presentation transcript:

Management of device-related malignant sarcoma Arash Khamooshian, MD, Theo J. Klinkenberg, MD, Alexander H. Maass, MD, PhD, Massimo A. Mariani, MD, PhD HeartRhythm Case Reports Volume 3, Issue 8, Pages 373-376 (August 2017) DOI: 10.1016/j.hrcr.2017.04.002 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 A: A large, firm mass situated beneath the scar tissue, cranially of the pacemaker pocket. No signs of infection were present. The tumor is marked prior to surgery. B: Computed tomography scan demonstrating a 30-mm round nodus in the left shoulder region without pulmonary metastasis or mediastinal or hilar lymphadenopathy. HeartRhythm Case Reports 2017 3, 373-376DOI: (10.1016/j.hrcr.2017.04.002) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 A, B: Radical tumor resection including the encaged pacemaker leads and part of the greater pectoral and deltoid muscle. Tumor spill was avoided. C: Tumor with encaged pacemaker leads post resection. D: Extension of the caudal incision by a 12 × 8-cm horseshoe-like incision containing a skin flap for reconstruction purposes. HeartRhythm Case Reports 2017 3, 373-376DOI: (10.1016/j.hrcr.2017.04.002) Copyright © 2017 Heart Rhythm Society Terms and Conditions