Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report
Primary pericardial sarcomas are rare and lethal diseases. To date, only a few cases of primary pericardial sarcomas, such as rhabdomyosarcoma (RMS), have been reported. Since the unusual location of RMS in the pericardium makes it challenging to diagnose, precise diagnostic procedures are required....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1237951/full |
| _version_ | 1797743369931194368 |
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| author | Xingxuan Li Yukun Cao Guozhu Shao Yue Cui Yumin Li Kailu Zhang Xiaoqing Liu Heshui Shi |
| author_facet | Xingxuan Li Yukun Cao Guozhu Shao Yue Cui Yumin Li Kailu Zhang Xiaoqing Liu Heshui Shi |
| author_sort | Xingxuan Li |
| collection | DOAJ |
| description | Primary pericardial sarcomas are rare and lethal diseases. To date, only a few cases of primary pericardial sarcomas, such as rhabdomyosarcoma (RMS), have been reported. Since the unusual location of RMS in the pericardium makes it challenging to diagnose, precise diagnostic procedures are required. In this study, we present the case of a 23-year-old man who experienced postprandial obstruction and atypical precordial pain that lasted for a week. Echocardiography revealed a heterogeneous isoechoic pericardial mass with a significant pericardial effusion. Contrast-enhanced CT revealed a massive pericardial effusion along with an irregular, defined, heterogeneously enhancing mass that was located between the pericardium and diaphragm. PET-CT imaging showed an intense FDG uptake in the pericardial mass. Furthermore, cardiac MRI demonstrated malignant characteristics of the pericardial mass and provided a detailed visualization of its exact anatomical connection with both cardiac and extracardiac structures. Finally, a pathologic examination of a puncture biopsy specimen confirmed the diagnosis of primary pericardial RMS. Our case emphasizes the importance of multimodal imaging for the differential diagnosis and evaluation of cardiac involvement, while providing clinicians with crucial information for clinical treatment and decision-making. |
| first_indexed | 2024-03-12T14:54:30Z |
| format | Article |
| id | doaj.art-467b86512dbe48eb81253bc6899c4d87 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-12T14:54:30Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-467b86512dbe48eb81253bc6899c4d872023-08-14T23:21:47ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-08-011010.3389/fcvm.2023.12379511237951Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case reportXingxuan Li0Yukun Cao1Guozhu Shao2Yue Cui3Yumin Li4Kailu Zhang5Xiaoqing Liu6Heshui Shi7Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaPrimary pericardial sarcomas are rare and lethal diseases. To date, only a few cases of primary pericardial sarcomas, such as rhabdomyosarcoma (RMS), have been reported. Since the unusual location of RMS in the pericardium makes it challenging to diagnose, precise diagnostic procedures are required. In this study, we present the case of a 23-year-old man who experienced postprandial obstruction and atypical precordial pain that lasted for a week. Echocardiography revealed a heterogeneous isoechoic pericardial mass with a significant pericardial effusion. Contrast-enhanced CT revealed a massive pericardial effusion along with an irregular, defined, heterogeneously enhancing mass that was located between the pericardium and diaphragm. PET-CT imaging showed an intense FDG uptake in the pericardial mass. Furthermore, cardiac MRI demonstrated malignant characteristics of the pericardial mass and provided a detailed visualization of its exact anatomical connection with both cardiac and extracardiac structures. Finally, a pathologic examination of a puncture biopsy specimen confirmed the diagnosis of primary pericardial RMS. Our case emphasizes the importance of multimodal imaging for the differential diagnosis and evaluation of cardiac involvement, while providing clinicians with crucial information for clinical treatment and decision-making.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1237951/fullcardiac tumorrhabdomyosarcomacardiac magnetic resonancePET-CTechocardiography |
| spellingShingle | Xingxuan Li Yukun Cao Guozhu Shao Yue Cui Yumin Li Kailu Zhang Xiaoqing Liu Heshui Shi Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report Frontiers in Cardiovascular Medicine cardiac tumor rhabdomyosarcoma cardiac magnetic resonance PET-CT echocardiography |
| title | Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report |
| title_full | Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report |
| title_fullStr | Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report |
| title_full_unstemmed | Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report |
| title_short | Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report |
| title_sort | multimodality imaging assessment of primary pericardial rhabdomyosarcoma a case report |
| topic | cardiac tumor rhabdomyosarcoma cardiac magnetic resonance PET-CT echocardiography |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1237951/full |
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