A Road to the Heart From Uterine Closet: A Case Report
Angiosarcomas of the uterine is a malignant and poor prognostic tumor and can either be a primary sarcoma or arising secondary to radiotherapy of a more complex tumor. Primary uterine angiosarcomas are exceptional and probably arise from embryonic vascular remnants, teratoma or from the rich uterine...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2018-02-01
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| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/5912 |
| _version_ | 1811276456840396800 |
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| author | Aghygh Heidari Samsam Dabiri Feridoun Sabzi |
| author_facet | Aghygh Heidari Samsam Dabiri Feridoun Sabzi |
| author_sort | Aghygh Heidari |
| collection | DOAJ |
| description | Angiosarcomas of the uterine is a malignant and poor prognostic tumor and can either be a primary sarcoma or arising secondary to radiotherapy of a more complex tumor. Primary uterine angiosarcomas are exceptional and probably arise from embryonic vascular remnants, teratoma or from the rich uterine vasculature. We reported a rare case of primary angiosarcoma of uterine that at the time of diagnosis presented with sign and symptom of local and distant metastasis. The patient presented with dyspnea, chest pain, and history of vaginal bleeding and pelvic pain. The physical exam revealed pallor, prominent jugular pulse pressure, a palpable fixed mass in the pelvic however vaginal exam was unremarkable. Transthoracic echocardiography (TTE) revealed massive pericardial effusion and also a large mass in the right atrium. The abdominal ultrasound showed echogenic and poor echogenic segments in uterine mass combined with central necrosis. The patient underwent total hysterectomy and Bilateral salpingo-oophorectomy followed by radiotherapy and adjuvant chemotherapy. The patient underwent open heart surgery with resection of cardiac mass and further received a four cycle of radiotherapy (50 MG) to the mediastinum. The further follow-up (6 month) revealed no recurrence of tumor in a mediastinum. However, patient died from metastasis to the liver and its hepatic failure sequels. |
| first_indexed | 2024-04-12T23:56:47Z |
| format | Article |
| id | doaj.art-4c35f29d38704e06b742976f2cb0dd46 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-04-12T23:56:47Z |
| publishDate | 2018-02-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-4c35f29d38704e06b742976f2cb0dd462022-12-22T03:11:27ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942018-02-015615258A Road to the Heart From Uterine Closet: A Case ReportAghygh Heidari0Samsam Dabiri1Feridoun Sabzi2Department of Anesthesiology, Kermanshah University of Sciences, Imam Ali Hospital, Kermanshah, Iran.Department of Cardiac Surgery, Kermanshah University of Sciences, Imam Ali Hospital, Kermanshah, Iran.Department of Cardiac Surgery, Kermanshah University of Sciences, Imam Ali Hospital, Kermanshah, Iran.Angiosarcomas of the uterine is a malignant and poor prognostic tumor and can either be a primary sarcoma or arising secondary to radiotherapy of a more complex tumor. Primary uterine angiosarcomas are exceptional and probably arise from embryonic vascular remnants, teratoma or from the rich uterine vasculature. We reported a rare case of primary angiosarcoma of uterine that at the time of diagnosis presented with sign and symptom of local and distant metastasis. The patient presented with dyspnea, chest pain, and history of vaginal bleeding and pelvic pain. The physical exam revealed pallor, prominent jugular pulse pressure, a palpable fixed mass in the pelvic however vaginal exam was unremarkable. Transthoracic echocardiography (TTE) revealed massive pericardial effusion and also a large mass in the right atrium. The abdominal ultrasound showed echogenic and poor echogenic segments in uterine mass combined with central necrosis. The patient underwent total hysterectomy and Bilateral salpingo-oophorectomy followed by radiotherapy and adjuvant chemotherapy. The patient underwent open heart surgery with resection of cardiac mass and further received a four cycle of radiotherapy (50 MG) to the mediastinum. The further follow-up (6 month) revealed no recurrence of tumor in a mediastinum. However, patient died from metastasis to the liver and its hepatic failure sequels.https://acta.tums.ac.ir/index.php/acta/article/view/5912Uterine sarcomaMetastasisCardiac involvement |
| spellingShingle | Aghygh Heidari Samsam Dabiri Feridoun Sabzi A Road to the Heart From Uterine Closet: A Case Report Acta Medica Iranica Uterine sarcoma Metastasis Cardiac involvement |
| title | A Road to the Heart From Uterine Closet: A Case Report |
| title_full | A Road to the Heart From Uterine Closet: A Case Report |
| title_fullStr | A Road to the Heart From Uterine Closet: A Case Report |
| title_full_unstemmed | A Road to the Heart From Uterine Closet: A Case Report |
| title_short | A Road to the Heart From Uterine Closet: A Case Report |
| title_sort | road to the heart from uterine closet a case report |
| topic | Uterine sarcoma Metastasis Cardiac involvement |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/5912 |
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