Left ventricular metastasis of osteosarcoma: A report of an unusual case

Abstract

Background: Secondary cardiac tumors are far more frequent than primary tumors. Cardiac metastasis of osteosarcoma is extremely rare. Case Presentation: We report a 14-year-old child with left femur osteosarcoma that had metastasized to the left ventricle after 30 months of follow-up. The diagnosis was confirmed based on the findings of transthoracic echocardiography and fluorodeoxyglucose positron emission tomography/computed tomography. Surgical removal was indicated in the patient, but his parents refused this decision, and the patient was discharged and admitted to a pediatric oncology center for chemotherapy. The patient died after four courses of chemotherapy. Conclusion: Cardiac metastasis of osteosarcoma is a strong predictor of disease. The demographic differences shown in our case include male sex and a short interval between onset and cardiac involvement.

Nuclear Imaging in Pediatric Cardiology: Principles and Applications

“…Data on the use of 18F-FDG PET/CT in pediatric cardiac tumors are, however, missing. A few cases of identification of myocardial metastases based on whole body 18F-FDG PET/CT have been reported ( 119 , 120 ) but no study has specifically investigated the role of nuclear imaging in diagnosis of pediatric cardiac tumors.…”