Metastatic Ewing's sarcoma involving the right ventricle

Turk Kardiyol Dern Ars. 2008 Dec;36(8):546-8.

Abstract

Cardiac metastasis of Ewing's sarcoma is rare. A 22-year-old woman was admitted with complaints of palpitation and fatigue on exertion. She had a seven-year history of radical right tibial resection for Ewing's sarcoma and was also receiving chemotherapy for lung metastasis of Ewing's sarcoma. Both transthoracic and transesophageal echocardiography demonstrated a single, large (3x3.5 cm) inhomogeneous mass located in the free wall of the right ventricle. To differentiate the mass from a massive thrombus, contrast-enhanced magnetic resonance imaging was performed. The mass showed partial contrast enhancement, suggesting a malignant metastatic mass. Surgical resection was not considered due to accompanying lung metastasis and potentially poor outcome of the operation.

Publication types

  • Case Reports

MeSH terms

  • Bone Neoplasms / diagnosis
  • Bone Neoplasms / pathology*
  • Diagnosis, Differential
  • Echocardiography / methods*
  • Female
  • Heart Neoplasms / diagnosis*
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / secondary*
  • Humans
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / secondary
  • Neoplasm Metastasis
  • Prognosis
  • Sarcoma, Ewing / diagnosis
  • Sarcoma, Ewing / pathology*
  • Young Adult