Giant solitary fibrous tumor of the epicardium causing reversible heart failure.

Bianchi, Giacomo; Ferrarini, Matteo; Matteucci, Marco; Monteleone, Angelo; Aquaro, Giovanni Donato; Passino, Claudio; Pucci, Angela; Glauber, Mattia · Ann Thorac Surg · 2013

case_report · Level V

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Abstract

A 68-year-old woman with a 2-year history of dyspnea and fatigue was admitted to our hospital with a massive pericardial effusion. Computed tomography and cardiovascular magnetic resonance imaging revealed a huge (17 cm maximum diameter) intrapericardial mass. After successful tumor resection, a giant solitary fibrous tumour of the epicardium was diagnosed by histology. Histologic features of malignancy were absent, and the patient is alive and well 1 year after the operation, undergoing close follow-up at regular intervals. Recurrences have been exceptionally reported in benign solitary fibrous tumors, and experience with this exceptionally rare and enigmatic cardiac tumor is lacking.

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