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Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report

Cardiac angiosarcoma is a rare, malignant neoplasm affecting the heart. We present the clinical history of a 40-year-old patient diagnosed with metastatic angiosarcoma of the heart. The patient complained of shortness of breath, and a cardiac computed tomography scan revealed a mass in the right atr...

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Autores principales: An, Soo Yeon, Shim, Man-Shik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453339/
https://www.ncbi.nlm.nih.gov/pubmed/37627925
http://dx.doi.org/10.3390/diagnostics13162666
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author An, Soo Yeon
Shim, Man-Shik
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Shim, Man-Shik
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description Cardiac angiosarcoma is a rare, malignant neoplasm affecting the heart. We present the clinical history of a 40-year-old patient diagnosed with metastatic angiosarcoma of the heart. The patient complained of shortness of breath, and a cardiac computed tomography scan revealed a mass in the right atrium and pericardial effusion. Transthoracic and transesophageal echocardiography provided detailed anatomical and functional information, and cardiac magnetic resonance imaging and fluorodeoxyglucose-positron emission tomography/computed tomography were used to assess distant metastasis and characterize the mass in detail. Early differential diagnosis and comprehensive evaluation of a cardiac mass are vital for determining appropriate treatment strategies to improve patient outcomes. The pathological results from the endocardial biopsy confirmed the diagnosis of primary angiosarcoma. The patient underwent surgical resection of the right atrial mass but died within one month because of the locally advanced nature of the angiosarcoma and its rapid progression. The patient’s medical journey sheds light on the challenges associated with diagnosing and treating this rare condition, particularly the rapid progression of its cardiac manifestations.
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spelling pubmed-104533392023-08-26 Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report An, Soo Yeon Shim, Man-Shik Diagnostics (Basel) Interesting Images Cardiac angiosarcoma is a rare, malignant neoplasm affecting the heart. We present the clinical history of a 40-year-old patient diagnosed with metastatic angiosarcoma of the heart. The patient complained of shortness of breath, and a cardiac computed tomography scan revealed a mass in the right atrium and pericardial effusion. Transthoracic and transesophageal echocardiography provided detailed anatomical and functional information, and cardiac magnetic resonance imaging and fluorodeoxyglucose-positron emission tomography/computed tomography were used to assess distant metastasis and characterize the mass in detail. Early differential diagnosis and comprehensive evaluation of a cardiac mass are vital for determining appropriate treatment strategies to improve patient outcomes. The pathological results from the endocardial biopsy confirmed the diagnosis of primary angiosarcoma. The patient underwent surgical resection of the right atrial mass but died within one month because of the locally advanced nature of the angiosarcoma and its rapid progression. The patient’s medical journey sheds light on the challenges associated with diagnosing and treating this rare condition, particularly the rapid progression of its cardiac manifestations. MDPI 2023-08-13 /pmc/articles/PMC10453339/ /pubmed/37627925 http://dx.doi.org/10.3390/diagnostics13162666 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
An, Soo Yeon
Shim, Man-Shik
Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_full Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_fullStr Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_full_unstemmed Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_short Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_sort rapidly progressive metastatic angiosarcoma of the heart: a case report
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453339/
https://www.ncbi.nlm.nih.gov/pubmed/37627925
http://dx.doi.org/10.3390/diagnostics13162666
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