1-Month Relapse of Undifferentiated Sarcoma in the Left Atrium

• Published in: JACC. Case reports Vol. 30; no. 17; p. 103861
• Main Authors: Fumarulo, Isabella, Camilli, Massimiliano, Bisceglia, Irma, Massetti, Massimo, Lombardo, Antonella, Aspromonte, Nadia
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 02.07.2025; Elsevier
• Subjects: cardiac surgery; Cardiovascular; case report; echocardiography; hypofractionated radiotherapy; multimodal imaging; primary cardiac sarcoma; PCS; TTE; echocardiography; FDG; case report; CMR; hypofractionated radiotherapy; multimodal imaging; CT; LA; primary cardiac sarcoma; cardiac surgery; PET; computed tomography; transthoracic echocardiography; fluorodeoxyglucose; left atrium; positron emission tomography; cardiac magnetic resonance
• ISSN: 2666-0849; 2666-0849
• DOI: 10.1016/j.jaccas.2025.103861

Primary cardiac sarcomas are extremely rare. Echocardiography provides initial information about tumor location and size. However, due to the frequent resemblance to benign myxomas or thrombotic formations, the correct diagnosis often requires a multimodal approach. We report a case of undifferentiated cardiac sarcoma in a 46-year-old woman who underwent surgical resection. One month after the operation, echocardiography revealed disease recurrence. The patient underwent chemotherapy and hypofractionated radiotherapy with significant reduction of mass size. Primary cardiac sarcomas may be suspected by multimodality imaging tests, but the definitive diagnosis is histologic. There is still no international agreement about imaging criteria to define these tumors or optimal treatment. Radical surgery is potentially the best therapeutic option, but it is still burdened by high recurrence rates; radiotherapy, chemotherapy and immunotherapy appear promising, especially when used in combination. [Display omitted]