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European Heart Journal 1989 10(4):377-379;
Copyright © 1989 by the European Society of Cardiology.
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© 1989 The European Society of Cardiology

Unorthodox diagnostic procedure in a rare case of intrapericardial malignant Schwannoma

H. J. NESSER, G. BAUMGARTNER, G. SCHNEIDER, W. OEHLINGER, W. SCHMID, S. DAVOGG, P. BRUECKE and R. ERBEL

IInd Department of Internal Medicine, General Hospital of the Franciscan Sisters of Saint Elizabeth Linz Austria
IInd Medical Clinic, Johannes Gutenberg University, Mainz, Federal Republic of Germany Linz Austria

Received 13 July 1988; revised 9 September 1988; .

Correspondence address: Dr H. Joachim Nesser, KH d. EHsabethinen, Fadingerstr. 1, A-4010 Linz, Austria.

Abstract

To establish preoperatively the cytology of a large right atrial tumour, an echoguided transcutaneous thin needle aspiration using a transhepatic approach was performed. Cytology suggested myxoma, which had been mimicked by regressive changes within the tumour, while the histologic examination of the removed specimen revealed a malignant pericardial Schwannoma. In spite of this discrepancy we think that solid tumours located at the free atrial wall are accessible to ultrasound guided puncture without great risk.

Key Words: Malignant pericardial Schwannoma • thin needle aspiration • thin needle aspiration • echocardiography


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