title: Diagnosis, operation, recurrence, metastasis, and death: a case of primary cardiac rhabdomyosarcoma.
abstract: We present a case report of a 48-year-old man with a huge left atrial rhabdomyosarcoma who presented as severe mitral stenosis and accepted emergency surgery. Two years later, a pathologic fracture revealed osseous metastasis, and intracardiac recurrence was detected by echocardiography. The patient died of multiple organ failure in the end. This case is an unusual presentation of complete course of cardiac rhabdomyosarcoma (CR) from diagnosis, operation, recurrence, and metastasis to death. Although primary CR is highly lethal, operation should be indicated to clarify the diagnosis, relieve symptoms, and improve short-term survival.
authors: Department of Cardiovascular Surgery, Cardiovascular Institute and Fu-Wai Heart Hospital, CAMS and PUMC, 167 Beilishi Road, Beijing, China. glowingsail@gmail.com
authors: Hong-Guang
authors: HG
authors: Fan
authors: Jian
authors: J
authors: Meng
authors: Shi-Wei
authors: SW
authors: Pan
authors: Zhe
authors: Z
authors: Zheng
authors: Sheng-Shou
authors: SS
authors: Hu
mesh_terms: D001859:Bone Neoplasms / Q000556:secondary*; D004452:Echocardiography; D017809:Fatal Outcome; D006325:Heart Atria / Q000473:pathology* / Q000601:surgery; D006338:Heart Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000209:etiology; D009102:Multiple Organ Failure / Q000209:etiology; D009364:Neoplasm Recurrence, Local; D012208:Rhabdomyosarcoma / Q000473:pathology* / Q000556:secondary* / Q000601:surgery