Metastatic Ewing's sarcoma involving the right ventricle

Pamukcu B., BİLGE A. K. , Meric M., Atilgan D.

TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY, vol.36, no.8, pp.546-548, 2008 (Journal Indexed in ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 8
  • Publication Date: 2008
  • Title of Journal : TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY
  • Page Numbers: pp.546-548
  • Keywords: Diagnosis, differential, echocardiography, heart neoplasms/secondary, sarcoma, Ewing's/secondary

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.