Key result
A female patient with primary cardiac leiomyosarcoma presenting with recurrent pericardial effusion was managed with multidisciplinary treatment, highlighting the need for early multimodality imaging.
Why the study?
Malignant primary cardiac tumors are infrequent and confer an unfavorable prognosis without prompt identification and treatment.
Case Report (n=1)
Primary cardiac leiomyosarcoma is a rare and aggressive tumor that requires prompt multimodality imaging and complete surgical resection to optimize patient outcomes.
BACKGROUND: Malignant primary cardiac tumors are infrequent and can lead to an unfavorable prognosis if not identified and treated promptly. Early detection and prompt treatment of malignant primary cardiac tumors are crucial for a better prognosis. This article presents a case of primary cardiac leiomyosarcoma and reviews the literature on this topic. CASE PRESENTATION: Female patient that developed recurrent pericardial effusion and hemodynamic instability caused by a cardiac tumor, later identified as leiomyosarcoma. Multidisciplinary treatment was administered to the patient. CONCLUSIONS: The initial approach to this type of pathology should include multimodality imaging to establish a prompt diagnosis leading to complete standard treatment, to minimize risks to the patient's heart function which may include resection with complete margins of the neoplasm, otherwise the prognosis may be poor.
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Palomera et al. (2023) conducted a case report in Primary cardiac leiomyosarcoma (n=1). Multidisciplinary treatment was evaluated. A female patient with primary cardiac leiomyosarcoma presenting with recurrent pericardial effusion was managed with multidisciplinary treatment, highlighting the need for early multimodality imaging.
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