What question did this study set out to answer?

To describe the clinical presentation, computed tomography evaluation, and surgical management of a rare metastatic liposarcoma involving the right ventricle.

May 1, 2007Journal of Thoracic Imaging

Metastatic Shoulder Liposarcoma to the Right Ventricle

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Metastatic cardiac liposarcoma (n=1). Intervention: Surgical resection and electrocardiogram-gated cardiac computed tomography. Primary outcome: Relief of symptoms and visualization of tumor.

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Key result

ECG-gated cardiac CT-guided surgical resection relieves symptoms in a patient with rare RV liposarcoma metastasis.

Population

46-year-old man with right ventricular liposarcoma metastasis and an antecedent history of left upper arm…

Design

Case_report

Authors

ACAamer ChughtaiCleveland Clinic PCPaul CroninEmory Healthcare DLDavid R. LucasBoston Medical Center

Discussion

Member takes

Implication

May inform planning for rare cardiac metastases; leaves open generalizability from single case.

Key Points

To describe the clinical presentation, computed tomography evaluation, and surgical management of a rare metastatic liposarcoma involving the right ventricle.
Evaluated a 46-year-old man presenting with severe dyspnea and fatigue 3 years following multimodality therapy for a left upper arm liposarcoma.
Employed electrocardiogram-gated cardiac computed tomography to characterize the intracardiac mass, evaluate myocardial invasion, and screen for thoracic metastases.
Performed surgical debulking of the intracardiac tumor followed by histopathologic examination.
Cardiac computed tomography detected a large lobulated low-attenuation mass occupying most of the right ventricular cavity with extension through the apex and an associated pericardial effusion.
Surgical intervention achieved near-total resection of the intracardiac tumor, leaving residual unresectable tissue at the right ventricular apex and epicardium.
Histopathology confirmed metastatic liposarcoma concordant with the primary arm lesion, and surgical debulking achieved immediate symptom relief.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 46-year-old man with a history of left upper arm liposarcoma presenting with shortness of breath and fatigue due to a right ventricular liposarcoma metastasis.

Intervention

Electrocardiogram-gated cardiac computed tomography and surgical resection

Outcome

Visualization of metastatic tumor, evaluation of cardiac function, and relief of symptoms

Electrocardiogram-gated cardiac computed tomography is an effective imaging modality for the detection and surgical planning of rare metastatic cardiac liposarcomas.

Cite This Study

Chughtai et al. (2007) conducted a case report in Metastatic cardiac liposarcoma (n=1). Surgical resection and electrocardiogram-gated cardiac computed tomography was evaluated on Relief of symptoms and visualization of tumor. Surgical resection guided by electrocardiogram-gated cardiac computed tomography produced relief of symptoms in a 46-year-old man with a rare right ventricular liposarcoma metastasis.

synapsesocial.com/papers/6aa2078943c640b0446ee419 https://doi.org/10.1097/01.rti.0000213591.37096.1c

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Metastatic Shoulder Liposarcoma to the Right Ventricle

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Metastatic Shoulder Liposarcoma to the Right Ventricle

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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