"Second" Primary Cardiac Sarcoma in a Patient With Ewing Sarcoma. Always Expect The Unexpected

Ann Thorac Surg. 2017 Feb;103(2):e131-e133. doi: 10.1016/j.athoracsur.2016.07.063.

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Neoplasms / diagnostic imaging
  • Bone Neoplasms / pathology*
  • Bone Neoplasms / therapy
  • Cardiac Surgical Procedures / methods
  • Chemoradiotherapy / methods
  • Combined Modality Therapy
  • Echocardiography, Transesophageal / methods
  • Follow-Up Studies
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / pathology*
  • Heart Neoplasms / surgery
  • Humans
  • Magnetic Resonance Imaging, Cine / methods
  • Male
  • Neoplasms, Second Primary / diagnostic imaging*
  • Neoplasms, Second Primary / surgery
  • Positron-Emission Tomography / methods
  • Rare Diseases
  • Ribs
  • Risk Assessment
  • Sarcoma / diagnostic imaging*
  • Sarcoma / pathology
  • Sarcoma / surgery
  • Sarcoma, Ewing / diagnostic imaging
  • Sarcoma, Ewing / pathology*
  • Sarcoma, Ewing / therapy
  • Treatment Outcome