title: Cardiac epithelioid leiomyosarcoma and the role of cardiac imaging in the differentiation of intracardiac masses.
abstract: Primary malignant cardiac neoplasms are extremely rare and can be difficult to differentiate from other intracardiac masses. We present a case of left atrial epithelioid leiomyosarcoma and review the imaging modalities available to diagnose and characterize intracardiac masses. We demonstrate how multimodal imaging aided diagnosis and proved crucial to establishing the tumor's location, degree of invasion, and involvement of surrounding structures prior to surgical resection.
authors.affiliation: Department of Cardiology, St Vincent's Hospital, Melbourne, Australia. christinejellis@hotmail.com
authors.forename: Christine
authors.initials: C
authors.lastname: Jellis
authors.forename: Joseph
authors.initials: J
authors.lastname: Doyle
authors.forename: Tom
authors.initials: T
authors.lastname: Sutherland
authors.forename: Jack
authors.initials: J
authors.lastname: Gutman
authors.forename: Andrew
authors.initials: A
authors.lastname: Macisaac
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures; D017024:Chemotherapy, Adjuvant; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods; D004452:Echocardiography; D017809:Fatal Outcome; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000601:surgery; D009361:Neoplasm Invasiveness; D011237:Predictive Value of Tests; D016896:Treatment Outcome