[Recurrent multiple XXXX : report of a case].

@entity1 @entity5 @entity3291 @entity4615 @entity299
A case of recurrent multiple @entity299 was presented. The @entity1 was a 27-year-old housewife. Four years ago, she underwent urgent resection of a left @entity4615 and replacement of the interatrial septum with a patch graft by right atrial approach. The @entity5 was very friable and a part of the @entity5 dropped into cardiac chambers during the operation, and immediately saline lavage and aspiration were performed. The recovery was uneventful. On March, 1981, she was readmitted to our hospital because of increasing dry cough. Two-dimensional echocardiography demonstrated abnormal masses in the right atrium, right ventricle, and left atrium. Open heart surgery revealed three independent @entity5 , which were successfully removed. All @entity5 were @entity3291 histologically. The @entity1 returned to full-time housework again. A case of recurrent @entity3291 has not been previously reported. The recurrence of the @entity3291 in our case is thought to be caused by implantation of @entity5 cells during the initial operative procedure. Our case will suggest the malignant potentiality of @entity299 . The necessity of radical excision and gentle handling of the @entity5 during the operation are reemphasized. Postoperative follow-up study is also mandatory for early detection of the recurrence of this potentially malignant @entity5 .
