International Poster Session(JDDW)
November 4 (Fri.), 9:30–10:26, Room 16 (Kobe International Exhibition Hall No. 2 Building Hall (North) Digital Poster Session)
IP-19_E

EUS-FNA OF TWO CASES OF RIGHT AURICULAR MASSES

R. Romero-Castro1
Co-authors: V. A. Jimenez-Garcia1, J. J. Rios2, T. Garcia-Manrique3, P. Gallego4, M. Villa4, C. Otal2, R. Gonzalez-Campora2, J. Caceres-Galan5, C. Ortiz6, F. Pellicer-Bautista1, A. Caunedo-Alvarez1, J. M. Herrerias-Gutierrez1, M. Romero-Gomez1
1
Service of Gastroenterology, Virgen Macarena Hospital
2
Department of Pathology, Virgen Macarena Hospital
3
Service of Oncology, Virgen Macarena Hospital
4
Service of Cardiology, Virgen Macarena Hospital
5
Department of Anesthesiology, Virgen Macarena Hospital
6
Service of Gastroenterology, V. Valme Hospital
Up to our knowdlege, 6-cases of heart EUS-FNA have been published since 2007. We report 2-cases of EUS-FNA of right auricular masses. Case 1: a 62-year-old female was admitted for dyspnea and congestive cardiac failure. An 8-cm mass was observed in the right auricular. An intravascular biopsy was not feasible. EUS-FNA was performed by using a 25G needle in one pass, after anticoagulant therapy was suspended. The cytologic and microhistology showed a large B-cell non-Hodgkin malignant lymphoma CD20+. Chemotherapy was started with initial response. The patient died 4-months later due to pneumonia and agranulocytosis.Case 2: a 31-year-old male was admitted for dyspnea and haemoptysis. A right auricular mass was observed. Intravascular biopsy did not yield diagnostic material. EUS-FNA was performed using a 25G needle in three passes. The last cytologic smear showed few non-atypical fusiform cells embedding in a myxoid background, suggesting atrial myxoma. The patient was finally considered unfit for surgical resection and died four months later due to pulmonary embolism. EUS-FNA were performed safely without adverse events in these two cases helping in the clinical making decision algorythm.
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