An extremely rare case of a high-grade pleomorphic cardiac sarcoma and likely cerebral metastasis in a young patient.
To date, there have been less than a 100 confirmed case reports of primary cardiac malignant fibrous histiocytomas, a rare form of sarcoma. In this report, we discuss the case of a 15-year-old girl who initially presented with a histiocytic cerebral sarcoma that was treated with aggressive resection and chemotherapy. Three years later, the same patient developed increasing shortness of breath and was found to have a high-grade pleomorphic undifferentiated cardiac sarcoma that likely represents the primary tumour from which the cerebral lesion metastasised. This represents an extremely unique case; in 2010, a research group in Germany claimed the very first description of a true cardiac sarcoma with brain metastasis [1]. However, even as far back as 1960, there were three case reports [2] and more extensive sarcoma studies recently have revealed further cases [3]. Nevertheless, there have probably been less than 10 cases in the literature up until this point.
Central Manchester Foundation Trust, Oxford Rd, Manchester M13 9WL, UK.
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TG
Wilson
Central Manchester Foundation Trust, Oxford Rd, Manchester M13 9WL, UK.
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P
Jenkins
Central Manchester Foundation Trust, Oxford Rd, Manchester M13 9WL, UK.
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A
Hoschtitzky
Central Manchester Foundation Trust, Oxford Rd, Manchester M13 9WL, UK.
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M
McCabe
cardiac MRI; cardiac tumours; leiomyosarcoma; sarcoma