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Straight to the Heart: Pulmonary Vein Leiomyosarcoma

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Presentation on theme: "Straight to the Heart: Pulmonary Vein Leiomyosarcoma"— Presentation transcript:

1 Straight to the Heart: Pulmonary Vein Leiomyosarcoma
Sandeep M. Patel, MD, Kunal C. Kadakia, MD, Joseph J. Maleszewski, MD, Randolph S. Marks, MD  The American Journal of Medicine  Volume 126, Issue 2, Pages (February 2013) DOI: /j.amjmed Copyright © Terms and Conditions

2 Figure 1 Axial computed tomography with contrast of the chest demonstrated a large right-sided pulmonary mass that extended from the lung through the pulmonary vein and then traveled straight into the left atrium. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

3 Figure 2 This apical 2-chamber view, captured with a transthoracic echocardiogram, disclosed a left atrial mass protruding from the orifice of the pulmonary vein towards the mitral valve. No notable dysfunction of the left atrium or mitral valve apparatus was noted. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

4 Figure 3 A, B, The post-operative gross specimen is displayed.
The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

5 Figure 4 These photomicrographs show the resected tumor thrombus from the right pulmonary vein. A, Sheets of highly atypical epithelioid cells with enlarged hyperchromatic nuclei and numerous atypical mitotic figures were identified (hematoxylin and eosin, 400×). B, The neoplastic cells reacted strongly with antibodies directed against desmin (Immunoperoxidase staining, 400×) The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions


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