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Published on: July 17, 2013
Primary chondrosarcoma of the heart
Chirag Parmar1, Annie Jojo, Krishna C Vachhani
1Department of Pathology, Amrita Institute of Medical Sciences and Research Centre, Cochin 682026, Kerala, India. drchiragp@yahoo.com
A rare primary cardiac chondrosarcoma was diagnosed in a 22-year-old man presenting with fatigue. Histopathology confirmed mesenchymal chondrosarcoma, with no other tumors found.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Primary cardiac chondrosarcoma is an exceptionally rare tumor.
- Most reported cardiac chondrosarcomas are secondary malignancies.
- Early diagnosis is crucial for patient outcomes.
Observation:
- A 22-year-old male presented with fatigue, initially suspected as mitral stenosis.
- Echocardiography revealed a left atrial mass, initially presumed to be a myxoma.
- Surgical excision and histopathological examination were performed.
Findings:
- Histopathology confirmed the left atrial mass as a mesenchymal chondrosarcoma.
- Immunohistochemistry supported the diagnosis of chondrosarcoma.
- Further clinical and radiological assessments ruled out other primary or metastatic neoplasms.
Implications:
- This case highlights the importance of considering rare primary cardiac tumors in young adults with cardiac symptoms.
- Accurate diagnosis through histopathology and immunohistochemistry is essential for appropriate management.
- Further research into primary cardiac chondrosarcoma is warranted due to its rarity.
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