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Primary cardiac epithelioid angiosarcoma: A case report
Thanh Hoa Do1, Xuan Duong Le1, Thu Thuy Vu2
1Department of Emergency, Hanoi, Vietnam.
Insights
Primary cardiac angiosarcoma, a rare cancer, was diagnosed in a 44-year-old male. Imaging revealed a left atrial tumor with significant pericardial effusion, confirmed by pathology as epithelioid angiosarcoma.
Area of Science:
- Cardiovascular Pathology
- Oncology
- Medical Imaging
Background:
- Primary cardiac angiosarcoma is an exceedingly rare and aggressive malignancy originating in the heart.
- Early diagnosis is challenging due to nonspecific symptoms and rarity.
Observation:
- A 44-year-old male presented with a left atrial heart tumor.
- Significant pericardial effusion and local invasion were noted on imaging.
- Diagnostic modalities included transthoracic echocardiography, computed tomography, and magnetic resonance imaging.
Findings:
- Postoperative histopathological examination confirmed the tumor as primary cardiac epithelioid angiosarcoma.
- The findings highlight the importance of advanced imaging in diagnosing rare cardiac tumors.
Implications:
- This case underscores the diagnostic challenges and aggressive nature of primary cardiac angiosarcoma.
- Accurate histopathological diagnosis is crucial for appropriate patient management and treatment strategies.
- Further research into rare cardiac malignancies is warranted.
Abstract:
Primary cardiac angiosarcoma is an extremely rare, high-grade malignancy. Here, we describe the case of a 44-year-old male patient with a heart tumor in the left atrium wall, which caused a large amount of pericardial effusion that invaded the surrounding area and is visible on transthoracic echocardiography, computed tomography, and magnetic resonance imaging. The postoperative histopathological results confirmed this case as a primary cardiac epithelioid angiosarcoma.
