Surgical Treatment of Ruptured Metastatic Pleomorphic Leiomyosarcoma

A rare case of primary cardiac leiomyosarcoma was diagnosed in a 21-year-old man who presented with a groin mass thought to be a sebaceous cyst. Histopathology revealed a high-grade pleomorphic leiomyosarcoma. Combined positron-emission and computed tomography showed a large metabolically active lef...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2010-06, Vol.18 (3), p.288-290
Main Authors: Giv, Mahmoud Jafari, Kenny, James F, Opeskin, Kenneth K, Elahi, Maqsood M, Alam, Naveed Z
Format: Article
Language:English
Subjects:
Cardiac Surgical Procedures
Cardiac Tamponade - etiology
Cardiac Tamponade - surgery
Chemotherapy, Adjuvant
Echocardiography
Groin
Heart Atria - pathology
Heart Atria - surgery
Heart Neoplasms - drug therapy
Heart Neoplasms - pathology
Heart Neoplasms - radiotherapy
Heart Neoplasms - surgery
Humans
Leiomyosarcoma - drug therapy
Leiomyosarcoma - radiotherapy
Leiomyosarcoma - secondary
Leiomyosarcoma - surgery
Male
Positron-Emission Tomography
Radiotherapy, Adjuvant
Rupture, Spontaneous
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
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Summary:A rare case of primary cardiac leiomyosarcoma was diagnosed in a 21-year-old man who presented with a groin mass thought to be a sebaceous cyst. Histopathology revealed a high-grade pleomorphic leiomyosarcoma. Combined positron-emission and computed tomography showed a large metabolically active left atrial mass with multiple metastases. Major debulking resection was undertaken, followed by radiation and chemotherapy. At 13 months postoperatively, limited spread has been detected, and the patient had no limitation in daily life.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492310368572