Cor Vasa 2023, 65(3):560-562 | DOI: 10.33678/cor.2022.053
A multimodality imaging approach to multifocal intracardiac masses
- Tondela-Viseu Hospital Centre, Viseu, Portugal
The authors expose a case report of a 75-year-old woman admitted due to syncope and history of endometrial sarcoma. Echocardiography at hospital admission revealed two cardiac masses (in the right atrium [32×38 mm] and the other in the left ventricle [42×32 mm]), both with mobility and causing dynamic obstruction of the tricuspid valve and left ventricular outflow tract. Metastatic lesions were promptly suspected, considering the previous history, and an approach based on multimodality cardiovascular imaging was performed for differential diagnosis. Endometrial stromal sarcomas are rare tumors of the uterus corresponding to 0.2-1% of all uterine malignancies. Intracardiac metastasis from endometrial stromal sarcoma is a rare finding. The majority of reported metastasis is to the right side of the heart, being this case report a rare case of left chamber involvement.
Keywords: Mass, Multimodal imaging, Oncology
Received: April 9, 2022; Revised: April 9, 2022; Accepted: May 10, 2022; Published: June 20, 2023 Show citation
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References
- Koss LG, Spiro RH, Brunschwing A. Endometrial stromal sarcoma. Surg Gynecol Obstet Invest 1965;121:531-537.
- Ekmekci A, Ozcan KS, Canga Y, Karatas B. A rare cause of left atrial mass: endometrial stromal sarcoma metastasis. Ann Saudi Med 2014;34:84-86.
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Go to PubMed... - Yokoyama Y, Ono Y, Sakamoto T, et al. Asymptomatic intracardiac metastasis from a low-grade endometrial stromal sarcoma with successful surgical resection. Gynecol Oncol 2004;92:999-1001. Go to original source... Go to PubMed...
- Renzulli P, Weimann R, Barras JP, et al. Low-grade endometrial stromal sarcoma with inferior vena cava tumor thrombus and intracardiac extension: radical resection may improve recurrence free survival. Surg Oncol 2009;18:57-64. Go to original source...
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