Nakamura Yuki, Toda Koichi, Miyagawa Shigeru, Yoshikawa Yasushi, Hata Hiroki, Domae Keitaro, Matsuura Ryohei, Sawa Yoshiki
Department of Cardiovascular Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Clin Pathol. 2019 Feb 21;12:2632010X19831261. doi: 10.1177/2632010X19831261. eCollection 2019 Jan-Dec.
Cardiac sarcoma treatment is challenging for surgeons because of frequent tumor recurrence and poor prognosis. In addition, optimal management of recurrences is not well established. The multi-targeted tyrosine kinase inhibitor, pazopanib, was recently approved for soft-tissue sarcoma. Herein, we present a case involving recurrent cardiac angiosarcoma where the patient survived for 2 years with complete remission of disease after repeated surgical resection and treatment with oral pazopanib. Based on our experience, aggressive surgical resection combined with pazopanib may be a valid treatment for recurrent cardiac angiosarcoma to improve patient survival.
由于肿瘤频繁复发且预后不佳,心脏肉瘤的治疗对外科医生来说具有挑战性。此外,复发的最佳管理方法尚未完全确立。多靶点酪氨酸激酶抑制剂帕唑帕尼最近被批准用于软组织肉瘤。在此,我们报告一例复发性心脏血管肉瘤病例,该患者在反复手术切除并口服帕唑帕尼治疗后,疾病完全缓解,存活了2年。根据我们的经验,积极的手术切除联合帕唑帕尼可能是复发性心脏血管肉瘤的有效治疗方法,可提高患者生存率。