Metastatic Ewing's sarcoma involving the right ventricle.
Cardiac metastasis of Ewing's sarcoma is rare. A 22-year-old woman was admitted with complaints of palpitation and fatigue on exertion. She had a seven-year history of radical right tibial resection for Ewing's sarcoma and was also receiving chemotherapy for lung metastasis of Ewing's sarcoma. Both transthoracic and transesophageal echocardiography demonstrated a single, large (3x3.5 cm) inhomogeneous mass located in the free wall of the right ventricle. To differentiate the mass from a massive thrombus, contrast-enhanced magnetic resonance imaging was performed. The mass showed partial contrast enhancement, suggesting a malignant metastatic mass. Surgical resection was not considered due to accompanying lung metastasis and potentially poor outcome of the operation.
Pamukçu
Burak
B
Department of Cardiology, Istanbul Medicine Faculty of Istanbul University, Istanbul, Turkey. bpamukcu@gmail.com
Bilge
Ahmet Kaya
AK
Meriç
Mehmet
M
Atilgan
Dursun
D
D001859:Bone Neoplasms / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary; D009362:Neoplasm Metastasis; D011379:Prognosis; D012512:Sarcoma, Ewing / Q000175:diagnosis / Q000473:pathology*; D055815:Young Adult