Right atrial extension of XXXX .

@entity1 @entity3969 @entity5 @entity3181
BACKGROUND: Right atrial involvement in @entity1 with @entity3969 ( @entity3969 ) is a very rare phenomenon. CASE REPORT: The authors present four @entity1 with @entity3969 , in whom the @entity5 involved the inferior vena cava and the right atrium. In two @entity1 the @entity5 extension was asymptomatic, while the other two had @entity3181 . Therapeutic management included initial three-drug chemotherapy in three @entity1 , and primary @entity5 excision in one @entity1 , since the venous involvement had been not diagnosed. In each @entity1 , the therapeutic strategy was individualized and tailored to the course of the disease. Two @entity1 were cured. The @entity1 with bilateral @entity3969 died due to disease progression. Another @entity1 died suddenly at home in the course of an intermission between consecutive cycles of successful chemotherapy. CONCLUSIONS: The extension of @entity3969 to the great vessels and the right atrium indirectly affects the final outcome. Preoperative chemotherapy in @entity1 with @entity3969 invading the inferior vena cava and the right atrium is the method of choice. The extent of surgery depends on the preliminary chemotherapy results.
