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1-Month Relapse of Undifferentiated Sarcoma in the Left Atrium

Title: 1-Month Relapse of Undifferentiated Sarcoma in the Left Atrium
Authors: Fumarulo I.; Camilli M.; Massetti M.; Lombardo A.; Aspromonte N.
Contributors: Fumarulo, Isabella; Camilli, Massimiliano; Bisceglia, I.; Massetti, Massimo; Lombardo, Antonella; Aspromonte, Nadia
Publisher Information: Elsevier Inc.
Publication Year: 2025
Collection: Università Cattolica del Sacro Cuore: PubliCatt
Subject Terms: cardiac surgery; case report; echocardiography; hypofractionated radiotherapy; multimodal imaging; primary cardiac sarcoma; Settore MEDS-07/B - Malattie dell'apparato cardiovascolare
Description: Primary cardiac sarcomas are extremely rare. Echocardiography provides initial information about tumor location and size. However, due to the frequent resemblance to benign myxomas or thrombotic formations, the correct diagnosis often requires a multimodal approach. We report a case of undifferentiated cardiac sarcoma in a 46-year-old woman who underwent surgical resection. One month after the operation, echocardiography revealed disease recurrence. The patient underwent chemotherapy and hypofractionated radiotherapy with significant reduction of mass size. Primary cardiac sarcomas may be suspected by multimodality imaging tests, but the definitive diagnosis is histologic. There is still no international agreement about imaging criteria to define these tumors or optimal treatment. Radical surgery is potentially the best therapeutic option, but it is still burdened by high recurrence rates; radiotherapy, chemotherapy and immunotherapy appear promising, especially when used in combination.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/40615204; volume:30; issue:17; firstpage:N/A; lastpage:N/A; issueyear:2025; journal:JACC. CASE REPORTS; https://hdl.handle.net/10807/323061
DOI: 10.1016/j.jaccas.2025.103861
Availability: https://hdl.handle.net/10807/323061; https://doi.org/10.1016/j.jaccas.2025.103861
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.B9EED351
Database: BASE