title: Cardiac metastases in malignant fibrous histiocytoma. A case report.
abstract: Malignant fibrous histiocytoma metastasizing to the left ventricle is an uncommon form of cardiac malignancy. This report describes a rare case of left ventricular metastases from a malignant fibrous histiocytoma of the posterior compartment of the right thigh, recurring five years after treatment with surgery, hyperthermic perfusion of the limb and radiotherapy. As the patient presented symptoms of cardiac tamponade, open heart surgery was performed through a median sternotomy; however, the tumor was not resectable and only a biopsy was performed. A partial response was obtained with standard and high-dose chemotherapy with peripheral blood progenitor cell transplantation. The response continued to improve with immunotherapy. The patient returned to normal physical activity. He died four years later due to a ventricular arrhythmia.
authors: Unità operativa di Oncologia, Ospedale Civile di Avezzano, AQ, Italy. frecchia1946@libero.it
authors: Francesco
authors: F
authors: Recchia
authors: Gaetano
authors: G
authors: Saggio
authors: Giovanna
authors: G
authors: Amiconi
authors: Anna
authors: A
authors: Di Blasio
authors: Alisia
authors: A
authors: Cesta
authors: Giampiero
authors: G
authors: Candeloro
authors: Silvio
authors: S
authors: Rea
authors: Gianantonio
authors: G
authors: Nappi