Acute heart failure as manifestation of metastatic uterine leiomyosarcoma to the heart and lung.
Uterine leiomyosarcoma is an uncommon malignant neoplasm that frequently metastasizes through the bloodstream to distant organs such as the lung, bone, and brain. We report on and discuss a patient who had sudden onset of acute heart failure with pulmonary edema and bilateral pleural effusions, resulting from a high-grade uterine leiomyosarcoma metastatic to the left atrium. Surgical removal of the tumor terminated the acute heart failure and pulmonary edema. Other unusual features of this case include the metastatic leiomyosarcoma to the left atrium with expression of acute heart failure and the pulmonary tumor lesion obscured by the shadows of pleural effusion, pulmonary edema, and the breast.
Department of Pathology, National Defense Medical Center and Tri-Service General Hospital, Taipei, Taiwan.
Yi-Jen
YJ
Peng
Guo-Giueng
GG
Hueng
Herng-Sheng
HS
Lee
D000208:Acute Disease; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006333:Heart Failure / Q000209:etiology*; D006338:Heart Neoplasms / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007890:Leiomyosarcoma / Q000556:secondary*; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology; D014594:Uterine Neoplasms / Q000473:pathology*