Isolated symptomatic cardiac recurrence of endometrial stromal sarcoma treated successfully with surgical resection

Britt K. Erickson, Akila Subramaniam, Kellie E. Schneider, Michael G. Conner, MacK N. Barnes

Research output: Contribution to journalArticle

Abstract

Background: Despite its favorable prognosis, endometrial stromal sarcoma (ESS) commonly recurs in the abdomen and pelvis. Rarely, it recurs in the cardiovascular system. A case of isolated cardiac ESS recurrence without concurrent vascular or abdominal disease is presented in this report. Case: A 53-year-old woman with previously diagnosed and treated ESS presented to her physician with tachycardia and fatigue. Transthoracic echocardiogram revealed an intra-atrial pedunculated mass without caval involvement. Results: Surgical resection was performed successfully with alleviation of the patient'sher symptoms. Pathology confirmed isolated intracardiac recurrent ESS. Conclusions: This is the first documented case of intracardiac recurrence of ESS without concurrent abdominal or intracaval disease. This isolated recurrence supports a hematogenous mechanism of spread for ESS rather than intracavitary diffusion. Aggressive surgical management continues to be an option for treatment.

Original languageEnglish (US)
Pages (from-to)140-142
Number of pages3
JournalJournal of Gynecologic Surgery
Volume28
Issue number2
DOIs
StatePublished - Apr 1 2012

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