Why the study?
Does postoperative radiotherapy improve local control in a patient with primary cardiac spindle cell sarcoma after R2 resection?
Does postoperative radiotherapy improve local control in a patient with primary cardiac spindle cell sarcoma after R2 resection?
Postoperative radiotherapy may be a promising adjuvant treatment to improve local control after incomplete (R2) resection of rare primary cardiac spindle cell sarcomas.
Cardiac sarcomas may mimic myxoma in young adults; this case leaves open the value of routine histopathology for atypical atrial masses.
A patient in her early 20s presented with blood-stained sputum and shortness of breath. Initially, she was treated for pneumonia. Later, upon exacerbation of symptoms, further investigations were done which exhibited a left atrial mass causing compression of contralateral atrium. She underwent surgical resection of the mass, which was initially mistaken as myxoma. However, histopathological correlation revealed spindle cell sarcoma with focal myogenic differentiation. This case report highlights the role of Radiation Therapy in adjuvant setting with promising impact on improving local control after R2 resection. Cardiac spindle cell sarcoma, being one of the rarest cardiac tumours reported to date, warrants establishment of a Rare Tumour Multidisciplinary Team for management of such malignancies.
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Ali et al. (2023) studied this question.
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