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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

Large Multiple Excited Masses From the Right Ventricle and Right Outflow TractMetastatic endometrial stromal sarcoma was confirmed by histopathologic examination and immunohistochemistry.
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fig21079: Large Multiple Excited Masses From the Right Ventricle and Right Outflow TractMetastatic endometrial stromal sarcoma was confirmed by histopathologic examination and immunohistochemistry.

Mentions: Median sternotomy was performed and cardiopulmonary bypass instituted. Right atriotomy revealed a large mass, attached to the septal leaflet of the tricuspid valve, and a mass in the coronary sinus. The ventricular mass, which originated from the posterior ventricular wall, extended to the chordae tendineae. A large red mass was seen in the right ventricle’s outflow tract. The mas was completely resected (Figure 3).


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)

Large Multiple Excited Masses From the Right Ventricle and Right Outflow TractMetastatic endometrial stromal sarcoma was confirmed by histopathologic examination and immunohistochemistry.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig21079: Large Multiple Excited Masses From the Right Ventricle and Right Outflow TractMetastatic endometrial stromal sarcoma was confirmed by histopathologic examination and immunohistochemistry.
Mentions: Median sternotomy was performed and cardiopulmonary bypass instituted. Right atriotomy revealed a large mass, attached to the septal leaflet of the tricuspid valve, and a mass in the coronary sinus. The ventricular mass, which originated from the posterior ventricular wall, extended to the chordae tendineae. A large red mass was seen in the right ventricle’s outflow tract. The mas was completely resected (Figure 3).

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