Malignant fibrous histiocytoma of right atrium

Afifty-year-old male patient was admitted with dyspnoea and cough. Four days before admission, he wasepisode of dyspnoea, could not prostrate with non- productive cough when he was offered with a gastroscopy examination in a local hospital due to anepithymia. The patient had no history of medication or allergies. However, he had smoked for more than thirty years-sixty cigarettes per day. Chest distress without haemoptysis, pink frothy sputum, apsychia, amaurosis, and fever was developed. The symptoms worsened gradually. On examination at the Department of Emergency, Shenzhen People＇s Hospital, dyspnoea with jugular vein distension and oedema in his head, neck and thoracic region were discovered. The breathing sounds on both lower lungs were low. His heart rate was 100 beats/min without arrhythmia or murmur. His abdomen was soft without rebound tenderness. His liver and spleen were not palpable. Pitting oedema occurred in both low limbs. Furosemide was given, but the symptoms were not relieved.