Leiomyosarcoma of the thoracic aorta in a patient with hypertrophic cardiomyopathy.
We report a case of leiomyosarcoma of the thoracic aorta in a 49-year-old male patient with history of hypertrophic cardiomyopathy. The only presenting symptom was back pain localized under the left scapula with the frequency and severity of the pain increasing with time. Imaging studies detected the presence of an aortic tumor. The tumor was excised en bloc, and an interposition graft was implanted. The histology showed a fully excised grade 3 leiomyosarcoma. This article discusses features of this rare condition.
Cardiothoracic Department, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK. Electronic address: athanleon@hotmail.com.
Leonidas V
LV
Athanasopoulos
Imperial Vascular Unit, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK; Department of Surgery and Cancer, Imperial College London, London, UK.
Colin D
CD
Bicknell
Cardiothoracic Department, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
Jon R
JR
Anderson
Cardiothoracic Department, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
Kamran
K
Baig
Department of Pathology, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Robert
R
Goldin
Department of Radiology, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Mohamad
M
Hamady
Department of Cardiology, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Rodney
R
Foale
Imperial Vascular Unit, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK; Department of Surgery and Cancer, Imperial College London, London, UK.
Nicholas J
NJ
Cheshire
D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001416:Back Pain / Q000209:etiology; D019917:Blood Vessel Prosthesis Implantation; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D060787:Neoplasm Grading; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery