title: Cardiac rhabdomyosarcoma mimicking a mediastinal tumor and the role of endoscopic ultrasonography.
abstract: We report a case of cardiac rhabdomyosarcoma, with initial clinical features of "atrial rhythmic dysfunction", which was concluded as a mediastinal tumor by computed tomography (CT) scan. Endoscopic ultrasonography (EUS) and EUS-FNA (fine needle aspiration) were initially conducted to diagnose the isolated mediastinal mass. In this case, EUS re-assessed the previous diagnosis as a cardiac tumor, and the patient eventually achieved a 17-month survival rate after chemotherapy. In this paper, EUS findings obtained in our case are described and a review of literatures is briefly discussed. We also describe the advantages and limitations of this technique compared with other image diagnosis alternatives.
authors.affiliation: Department of Endoscopy, Paoli-Calmettes Institute, Marseille,, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Pesenti
authors.affiliation: Department of Endoscopy, Paoli-Calmettes Institute, Marseille,, France.
authors.forename: Erwan
authors.initials: E
authors.lastname: Bories
authors.affiliation: Department of Endoscopy, Paoli-Calmettes Institute, Marseille,, France.
authors.forename: Fabrice
authors.initials: F
authors.lastname: Caillol
authors.affiliation: Department of Surgery, Paoli-Calmettes Institute, Marseille, France.
authors.forename: V
authors.initials: V
authors.lastname: Moutardier
authors.affiliation: Department of Anatomopathology, Paoli-Calmettes Institute, Marseille, France.
authors.forename: Geneviève
authors.initials: G
authors.lastname: Monges
authors.affiliation: Department of Endoscopy, Paoli-Calmettes Institute, Marseille,, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Giovannini
keywords: cardiac rhabdomyosarcoma; endoscopic ultrasonography; heart neoplasms/diagnosis; mediastinal tumor; puncture (fine needle aspiration)