Right ventricular undifferentiated pleomorphic sarcoma: A case report

Jared P. Beller, Scott Maddalo, Ronaldo Zamuco, Leon Axel, Abelardo DeAnda, Leora B. Balsam

Research output: Contribution to journalArticle

Abstract

Undifferentiated pleomorphic sarcoma (UPS), previously known as malignant fibrous histiocytoma, is a neoplasm that occurs most often in the extremities, trunk, and retroperitoneum. Rarely, UPS can occur in the cardiac chambers and great vessels. The diagnosis of UPS is difficult to establish with noninvasive imaging techniques, and these tumors may be mistaken for benign neoplasms preoperatively. Surgical excision is the standard therapy, although the extent and location of the tumor may limit the ability to perform a complete resection. Adjuvant chemotherapy and/or radiation are often used for incomplete resections.We report the case of a 57-year-old woman with a large right ventricular UPS who presented with signs of right-sided heart failure. Preoperative imaging was suggestive of a myxoma; however, histopathologic evaluation of the specimen confirmed a diagnosis of UPS. Microscopic margins of the specimen were positive, and adjuvant chemotherapy was given. We discuss diagnostic and treatment considerations for this unusual cardiac tumor..

Original languageEnglish (US)
Pages (from-to)60-62
Number of pages3
JournalJournal of Cardiology Cases
Volume13
Issue number2
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

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Sarcoma
Adjuvant Chemotherapy
Neoplasms
Malignant Fibrous Histiocytoma
Myxoma
Heart Neoplasms
Extremities
Heart Failure
Radiation
Therapeutics

Keywords

  • Cardiac tumor
  • Right ventricle
  • Sarcoma

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Right ventricular undifferentiated pleomorphic sarcoma : A case report. / Beller, Jared P.; Maddalo, Scott; Zamuco, Ronaldo; Axel, Leon; DeAnda, Abelardo; Balsam, Leora B.

In: Journal of Cardiology Cases, Vol. 13, No. 2, 01.02.2016, p. 60-62.

Research output: Contribution to journalArticle

Beller, Jared P. ; Maddalo, Scott ; Zamuco, Ronaldo ; Axel, Leon ; DeAnda, Abelardo ; Balsam, Leora B. / Right ventricular undifferentiated pleomorphic sarcoma : A case report. In: Journal of Cardiology Cases. 2016 ; Vol. 13, No. 2. pp. 60-62.
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