Cardiac angiosarcoma treated with resection and adjuvant radiation therapy.
Primary cardiac angiosarcoma is a rare and aggressive tumor with a remarkably high rate of metastasis. Due to the high rate of metastasis, surgical resection is often limited and survival expectations modest. This report describes the case of a 35-year-old African-American woman with initially non-metastatic primary right atrial angiosarcoma who was treated with surgical resection of the primary tumor, reconstruction of the right atrium, and patch repair of the atrial septum via Gore-Tex patch. She underwent post-operative radiation therapy to the atrial bed with curative intent. However, after eight months of symptom-free survival, she presented with extensive metastases within bone and the right retroperitoneum without local recurrence. Palliative radiation treatment commenced for the metastases in the retroperitoneum and cervical spine.
Willis Knighton Medical Center, Louisiana State University-Shreveport, USA.
Chenelle
C
Slepicka
Michael
M
Durci
D000328:Adult; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000532:radiotherapy* / Q000601:surgery*; D006394:Hemangiosarcoma / Q000175:diagnosis / Q000532:radiotherapy* / Q000601:surgery*; D006801:Humans; D018714:Radiotherapy, Adjuvant