TITLE:
Intracardiac Metastasis from Epitheloid Sarcoma: Rare Localization and Difficult Management
AUTHORS:
Karima Oualla, Sofia Latifian, Aspasia Georgala, Fabienne Lebrun, François Delhaye, Marc Lemort, Omar Elmesbahi, Thierry Gil, Ahmad Awada
KEYWORDS:
Heart, Metastasis, Echocardiography, MRI, Chemotherapy, Prognosis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.4,
April
10,
2014
ABSTRACT:
The involvement of the heart in
metastatic cancer is a very rare clinical diagnosis with poor prognosis given
to the major risk of cardiac failure. They are frequently asymptomatic or
symptoms, when present, may be attributed to other causes. The most common,
among the latter, are intrathoracic
cancers, lymphomas, leukemias, melanoma, and rarely sarcomas. The
echocardiography is the gold standard for diagnosis, but scanner and magnetic
resonance imaging (MRI) can be helpful for determination of exact location and
composition of lesions. Cardiac metastases occur generally in advanced stage in
poly-metastatic patients. Treatment is often in a palliative strategy but should
be discussed in multidisciplinary approach for each case. We report a case of
cardiac metastasis occurring in a 47 years old woman, treated for epitheloid
sarcoma of the buttock. The aim of this work is to show the rarity of
the heart location, describing the
epidemiological, clinical, radiological, and prognostic features of these
metastases and finally discussing the
therapeutic strategy.