Primary fibrosarcoma of the liver infiltrating the right atrium of the heart.
A rare case of a primary fibrosarcoma of the liver infiltrating the right heart is described in a 72-year-old woman. The patient presented with a history of progressive dyspnea and ascites and her general condition was poor. Preoperative cardiac magnetic resonance (CMR) imaging revealed a large mass, which originated from the liver and had infiltrated the right atrium via the inferior vena cava. The patient underwent tumor resection yet died shortly afterwards. Histologically the mass was classified as a fibrosarcoma with positive immunostaining for vimentin. We report the CMR imaging characteristics in this uncommon case. Preoperative CMR proved to be useful for clinical decision making and the planning of surgery.
Kelle
S
S
Department of Internal Medicine/Cardiology, German Heart Institute, Berlin, Germany. kelle@dhzb.de
Paetsch
I
I
Neuss
M
M
Gebker
R
R
Niesporek
S
S
Meyer
R
R
Fleck
E
E
Nagel
E
E
D000368:Aged; D004417:Dyspnea / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D005354:Fibrosarcoma / Q000175:diagnosis*; D006325:Heart Atria / Q000473:pathology*; D006338:Heart Neoplasms / Q000473:pathology*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness