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Heart and Lung Metastases From Endometrial Stromal Sarcoma in a Forty-Two-Year-Old Woman.

Shakerian B, Mandegar MH, Moradi B, Roshanali F - Res Cardiovasc Med (2015)

Bottom Line: She had a history of hysterectomy and left salpingoophorectomy.Successful complete surgical resection of the metastatic tumor in the right side of the heart and then radiotherapy were done.After 28 months, follow-up examination revealed no abnormality.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Surgery, Shariati General Hospital, Tehran University of Medical Sciences, Tehran, IR Iran.

ABSTRACT

Introduction: Low-grade endometrial stromal sarcoma (LG-ESS) is a malignant intrauterine tumor that rarely presents with distant metastasis. Simultaneous lung and cardiac metastases from LG-ESS is also an extremely rare event.

Case presentation: A 42-year-old woman presented with dyspnea and exercise intolerance. She had a history of hysterectomy and left salpingoophorectomy. She underwent second laparotomy as well as right oophorectomy after new finding of vaginal mass with histopathologic diagnosis of LG-ESS. Cardiac imaging techniques demonstrated tumoral process in the right atrium and ventricle, coronary sinus, and pulmonary outlet tract as well as multiple metastases in the lung fields. Successful complete surgical resection of the metastatic tumor in the right side of the heart and then radiotherapy were done. After 28 months, follow-up examination revealed no abnormality.

Conclusions: We describe the first documented case of isolated intracardiac and lung metastases of a LG-ESS without concurrent abdominal or caval metastasis.

No MeSH data available.


Related in: MedlinePlus

Tumoral Masses in the Right Atrium, Coronary Sinus, Right Ventricle, and Pulmonary Outlet Tract (Computed Tomographic Angiography)
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fig21078: Tumoral Masses in the Right Atrium, Coronary Sinus, Right Ventricle, and Pulmonary Outlet Tract (Computed Tomographic Angiography)

Mentions: On examination, the patient had dyspnea at rest, tachycardia, and normal blood pressure. She had mild to moderate lower limb edema. Transthoracic echocardiography showed a large multilobulated mass (4.5 cm × 3.5 cm) in the right ventricle (Figure 1). Computed tomographic (CT) angiography demonstrated tumoral process in the right atrium, coronary sinus, right ventricle, and pulmonary outlet tract as well as multiple metastases in both lung fields (Figure 2). Findings of abdominopelvic and brain CT scan were normal. Color Doppler ultrasonography of the vessels of both lower limbs revealed normal findings.


Heart and Lung Metastases From Endometrial Stromal Sarcoma in a Forty-Two-Year-Old Woman.

Shakerian B, Mandegar MH, Moradi B, Roshanali F - Res Cardiovasc Med (2015)

Tumoral Masses in the Right Atrium, Coronary Sinus, Right Ventricle, and Pulmonary Outlet Tract (Computed Tomographic Angiography)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4588706&req=5

fig21078: Tumoral Masses in the Right Atrium, Coronary Sinus, Right Ventricle, and Pulmonary Outlet Tract (Computed Tomographic Angiography)
Mentions: On examination, the patient had dyspnea at rest, tachycardia, and normal blood pressure. She had mild to moderate lower limb edema. Transthoracic echocardiography showed a large multilobulated mass (4.5 cm × 3.5 cm) in the right ventricle (Figure 1). Computed tomographic (CT) angiography demonstrated tumoral process in the right atrium, coronary sinus, right ventricle, and pulmonary outlet tract as well as multiple metastases in both lung fields (Figure 2). Findings of abdominopelvic and brain CT scan were normal. Color Doppler ultrasonography of the vessels of both lower limbs revealed normal findings.

Bottom Line: She had a history of hysterectomy and left salpingoophorectomy.Successful complete surgical resection of the metastatic tumor in the right side of the heart and then radiotherapy were done.After 28 months, follow-up examination revealed no abnormality.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Surgery, Shariati General Hospital, Tehran University of Medical Sciences, Tehran, IR Iran.

ABSTRACT

Introduction: Low-grade endometrial stromal sarcoma (LG-ESS) is a malignant intrauterine tumor that rarely presents with distant metastasis. Simultaneous lung and cardiac metastases from LG-ESS is also an extremely rare event.

Case presentation: A 42-year-old woman presented with dyspnea and exercise intolerance. She had a history of hysterectomy and left salpingoophorectomy. She underwent second laparotomy as well as right oophorectomy after new finding of vaginal mass with histopathologic diagnosis of LG-ESS. Cardiac imaging techniques demonstrated tumoral process in the right atrium and ventricle, coronary sinus, and pulmonary outlet tract as well as multiple metastases in the lung fields. Successful complete surgical resection of the metastatic tumor in the right side of the heart and then radiotherapy were done. After 28 months, follow-up examination revealed no abnormality.

Conclusions: We describe the first documented case of isolated intracardiac and lung metastases of a LG-ESS without concurrent abdominal or caval metastasis.

No MeSH data available.


Related in: MedlinePlus