open access

Vol 44, No 2 (2010)
OPIS PRZYPADKU
Submitted: 2009-04-23
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Cerebral metastasis of a primary heart sarcoma

Susanne A. Kuhn, Jan Walter, Iver Petersen, Ulrike Mueller, Rupert Reichart, Rolf Kalff
DOI: 10.1016/S0028-3843(14)60010-4
·
Neurol Neurochir Pol 2010;44(2):188-195.

open access

Vol 44, No 2 (2010)
OPIS PRZYPADKU
Submitted: 2009-04-23

Abstract

Primary cardiac sarcomas are exceptionally rare tumours. A brain metastasis of a primary cardiac sarcoma has never been reported before. Although we know lots of primary malignomas spreading to the brain, we never observed cerebral metastases of an atrial spindle cell sarcoma. Cardiac sarcomas are more likely to haematogenously metastasize to the lung or the liver.

Here, we describe the case of a young man, who suffered from a cerebral metastasis of a spindle cell sarcoma in the left heart atrium nine years ago. Postoperative whole brain irradiation with 30 Gy was performed. Later on, the patient experienced a local recurrence within the left atrium accompanied by cardiac arrhythmia and mitral valve insufficiency. This case is the very first description of a true cerebral metastasis from a primary heart sarcoma. Therefore, clear treatment paradigms are not established. Further case illustrations and the publication of larger patient series are mandatory, whenever possible.

Abstract

Primary cardiac sarcomas are exceptionally rare tumours. A brain metastasis of a primary cardiac sarcoma has never been reported before. Although we know lots of primary malignomas spreading to the brain, we never observed cerebral metastases of an atrial spindle cell sarcoma. Cardiac sarcomas are more likely to haematogenously metastasize to the lung or the liver.

Here, we describe the case of a young man, who suffered from a cerebral metastasis of a spindle cell sarcoma in the left heart atrium nine years ago. Postoperative whole brain irradiation with 30 Gy was performed. Later on, the patient experienced a local recurrence within the left atrium accompanied by cardiac arrhythmia and mitral valve insufficiency. This case is the very first description of a true cerebral metastasis from a primary heart sarcoma. Therefore, clear treatment paradigms are not established. Further case illustrations and the publication of larger patient series are mandatory, whenever possible.

Get Citation

Keywords

primary cardiac sarcoma, brain metastasis, mitral valve insufficiency, neoadjuvant chemotherapy, adjuvant chemotherapy

About this article
Title

Cerebral metastasis of a primary heart sarcoma

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 44, No 2 (2010)

Pages

188-195

DOI

10.1016/S0028-3843(14)60010-4

Bibliographic record

Neurol Neurochir Pol 2010;44(2):188-195.

Keywords

primary cardiac sarcoma
brain metastasis
mitral valve insufficiency
neoadjuvant chemotherapy
adjuvant chemotherapy

Authors

Susanne A. Kuhn
Jan Walter
Iver Petersen
Ulrike Mueller
Rupert Reichart
Rolf Kalff

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