Diagnosis, operation, recurrence, metastasis, and death: a case of primary cardiac rhabdomyosarcoma.
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.
Fan
Hong-Guang
HG
Department of Cardiovascular Surgery, Cardiovascular Institute and Fu-Wai Heart Hospital, CAMS and PUMC, 167 Beilishi Road, Beijing, China. glowingsail@gmail.com
Meng
Jian
J
Pan
Shi-Wei
SW
Zheng
Zhe
Z
Hu
Sheng-Shou
SS
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