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Ann Thorac Surg 1990;49:309-311
© 1990 The Society of Thoracic Surgeons

Articles

Dumbbell metastatic cystosarcoma phyllodes of the heart and lung

Arlen G. Fleisher, MD, G.Frank O. Tyers, MD*, David Hu, MD, Eric M. Webber, MD, Cameron Essery, MD

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, and Division of Cardiology, Department of Medicine, University of British Columbia/Vancouver General Hospital, Vancouver, British Columbia, Canada

Accepted for publication June 19, 1989.

* Address reprint requests to Dr Tyers, No. 314, 700 W 10th Ave, Vancouver, BC, V5Z 1L5, Canada.

Cystosarcoma phyllodes is an uncommon breast tumor that rarely metastasizes. A case of dumbbell cystosarcoma phyllodes metastatic to the heart and lung diagnosed antemortem is described. The roles of diagnostic echocardiography and surgical excision are discussed. Atrial extension of a lung malignancy through a pulmonary vein is not an absolute contraindication to operation, but careful patient selection and operative planning are required.




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