title: Metastatic endometrial sarcoma with inferior vena caval and cardiac involvement: a combined surgical approach.
abstract: Low-grade endometrial stromal sarcoma with intracaval and intracardiac extension represents a complex and often lethal condition. A case of a 40-year-old woman, who underwent hysterectomy for endometrial stromal sarcoma 4 years previously and developed recurrence with intracaval and intracardiac metastases, is presented. Operative management of resection of the intracaval and intracardiac tumor is described. The literature is reviewed in order to highlight the data on diagnosis and management of recurrent endometrial stromal sarcoma with vascular involvement, including the multimodality approach required in treating this disease.
authors.affiliation: Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania Health System, Philadelphia, PA, USA.
authors.forename: Derek
authors.initials: D
authors.lastname: Nathan
authors.forename: Wilson
authors.initials: W
authors.lastname: Szeto
authors.forename: Jacob
authors.initials: J
authors.lastname: Gutsche
authors.forename: Htun
authors.initials: H
authors.lastname: Min
authors.forename: Venkat
authors.initials: V
authors.lastname: Kalapatapu
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery; D036821:Endometrial Stromal Tumors / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D005260:Female; D006338:Heart Neoplasms / Q000556:secondary / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy; D009364:Neoplasm Recurrence, Local; D010690:Phlebography / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery
keywords: intracardiac; intracaval; sarcoma