Multiple Intramyocardial Masses in an Otherwise Healthy 35-Year-Old Woman

Area of Science:

• Cardiology
• Oncology
• Pathology

Background:

• Cardiac sarcoidosis often manifests as heart failure, conduction defects, or arrhythmias.
• Differentiating cardiac sarcoidosis from metastatic tumors is crucial for accurate diagnosis and treatment.

Observation:

• A young woman presented with symptoms suggestive of metastatic cardiac disease.
• Imaging revealed multiple intramyocardial granulomatous masses.
• Hilar and mediastinal lymph nodes showed no significant enlargement.

Findings:

• The patient was diagnosed with cardiac sarcoidosis.
• The presentation mimicked metastatic cardiac tumors.
• Metabolically active lymph nodes were present without significant enlargement.

Implications:

• Cardiac sarcoidosis can present atypically, mimicking malignancy.
• Diagnostic imaging should consider sarcoidosis even with normal-sized lymph nodes.
• This case emphasizes the importance of considering rare mimics in cardiac pathology.