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.
Highlights
Cardiac metastases are a very rare entity and generally associated with poor prognosis because of cardiac failure
We report the case of a 47 years old woman, in her medical history we found anemia, and anal fissure, followed since January 2007 for an epithelioid sarcoma of the left buttock
The most common, among the latter, are lung, breast and oesophageal cancers, lymphomas, leukemias and melanoma, which has the highest rate of cardiac metastasis [3]
Summary
Cardiac metastases are a very rare entity and generally associated with poor prognosis because of cardiac failure. Secondary spread to the heart is important to recognize, as it occurs mainly in the context of disseminated disease and portends a poor prognosis [2], as illustrated by our case. We report the case of a 47 years old woman, in her medical history we found anemia, and anal fissure, followed since January 2007 for an epithelioid sarcoma of the left buttock. She was initially treated by wide resection adjuvant radiotherapy. In July 2012, the patient presented multifocal recurrence in bone, lung and lymph node. She received four cycles of chemotherapy based on doxorubicin and ifosfamide
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