Uterine leiomyosarcoma with cardiac metastases.
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.
Hoy
F
F
Department of Surgery, University of Illinois College of Medicine, Peoria.
Boucher
R
R
Brody
A
A
D005260:Female; D006338:Heart Neoplasms / Q000556:secondary*; D006352:Heart Ventricles; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology / Q000556:secondary*; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000473:pathology