Primary Cardiac Synovial Sarcoma Presenting With Brain Metastases

Abstract

Primary cardiac synovial sarcoma is a very rare primary cardiac tumor that usually arises in the right side of the heart. Brain metastases in primary cardiac sarcomas are not uncommon. Because of the wild nature of these tumors, they usually have poor outcomes. This study describes a 29-year-old female who presented with blurred vision, headache, nausea, vomiting and brain lesions in the radiologic study. Incidentally, two-dimensional echocardiography revealed a left atrial lesion. The patient underwent emergency cardiac surgery to resect the left atrial mass that arose from the atrial free wall and pulmonary veins. The diagnosis of the lesion was primary synovial sarcoma in the histopathologic examination.

Cardiac angiosarcoma with metastatic to lung, brain, and bone

“…Primary cardiac malignant tumors are mostly malignant lymphomas or sarcomas, including angiosarcomas [1] . Malignant lymphomas rarely cause bleeding and there are few reports of brain metastasis from sarcomas other than angiosarcomas [ [34] , [35] ]. Cerebral metastases of cardiac sarcoma are reported as hemorrhagic tumors, but we could not find any literature describing the radiological features of cerebral metastases of other sarcomas.…”