title: "Second" Primary Cardiac Sarcoma in a Patient With Ewing Sarcoma. Always Expect The Unexpected.
abstract: A high suspicion for relapsed metastatic disease must arise when an intracardiac mass is detected in a patient with a recent history of Ewing sarcoma. Nevertheless, the scenario may eventually turn out to be much more complex than expected, and the possibility that the intracardiac tumor may instead be a "second" primary sarcoma, although extremely rare, should also be considered. We describe the first case of concomitant diagnosis of Ewing sarcoma and low-grade myxoid spindle cell sarcoma in the same young patient.
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York. Electronic address: antoninodifranco.md@gmail.com.
authors.forename: Antonino
authors.initials: A
authors.lastname: Di Franco
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.
authors.forename: Mario
authors.initials: M
authors.lastname: Gaudino
authors.affiliation: Greenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
authors.forename: Jonathan W
authors.initials: JW
authors.lastname: Weinsaft
authors.affiliation: Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
authors.forename: Shawn C
authors.initials: SC
authors.lastname: Pun
authors.affiliation: Department of Pathology, Weill Cornell Medicine, New York, New York.
authors.forename: Navneet
authors.initials: N
authors.lastname: Narula
authors.affiliation: Greenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
authors.forename: Saadat A
authors.initials: SA
authors.lastname: Khan
authors.affiliation: Department of Anesthesiology, Weill Cornell Medicine, New York, New York.
authors.forename: Zahra M
authors.initials: ZM
authors.lastname: Malik
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.
authors.forename: Lucas B
authors.initials: LB
authors.lastname: Ohmes
authors.affiliation: Department of Anesthesiology, Weill Cornell Medicine, New York, New York.
authors.forename: Nickolaos J
authors.initials: NJ
authors.lastname: Skubas
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.
authors.forename: Leonard N
authors.initials: LN
authors.lastname: Girardi
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D006348:Cardiac Surgical Procedures / Q000379:methods; D059248:Chemoradiotherapy / Q000379:methods; D003131:Combined Modality Therapy; D017548:Echocardiography, Transesophageal / Q000379:methods; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods; D008297:Male; D016609:Neoplasms, Second Primary / Q000000981:diagnostic imaging* / Q000601:surgery; D049268:Positron-Emission Tomography / Q000379:methods; D035583:Rare Diseases; D012272:Ribs; D018570:Risk Assessment; D012509:Sarcoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D012512:Sarcoma, Ewing / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D016896:Treatment Outcome