Uterine leiomyosarcoma with cardiac metastases
Hoy, F.; Boucher, R.; Brody, A.
Canadian Journal of Surgery. Journal Canadien de Chirurgie 31(6): 418-420
1988
ISSN/ISBN: 0008-428X PMID: 3179851 Document Number: 307688
Leiomyosarcoma metastatic to the heart is rare and is usually fatal. The authors present the case of a 58-year-old woman who had a history of uterine leiomyosarcoma. Echocardiography and cardiac catheterization revealed a large right ventricular mass. Computed tomography confirmed the presence of the mass which extended into the pulmonary artery. The inferior vena cava was free of disease. At operation, a large tumour originating in the right ventricle and protruding through the pulmonary valve was found. Histologically, it was a leiomyosarcoma. Because there were numerous septal and intramural foci of tumour, complete resection was impossible, but palliative resection was performed successfully and the patient was alive and active 1 year after operation.