Recurrent Cardiac Metastasis of Primary Femoral Osteosarcoma: A Case Report

İyigün, Taner; Ciloglu, Ufuk; Aritürk, Cem; Civelek, Ali; Tosun, Remzi

doi:10.1532/hsf98.20101006

Cited by 8 publications

(2 citation statements)

References 6 publications

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“…In the case reported by Lyigun et al, 12 after surgical removal of the first LV metastasis, recurrent metastatic osteosarcoma to the LV was treated with chemotherapy, and in 2 months, the size of the recurrent tumor had diminished.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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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.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…Our patient did not complain of aching bones; clinically a tumor was not suspected, and a bone scan was not performed. Nevertheless, metastatic skeletal tumor thrombi most often from femur and humerus extending to the heart have been described [20][21][22]. In rare cases, extra-skeletal osteosarcoma may spread via the hematogenous route to an unusual cardiac localisation such as the LA [11,14].…”

Section: Discussionmentioning

confidence: 99%

Heart Osteosarcoma Presenting as Infective Endocarditis: A Case Report of a Patient With a Cardiac Pacemaker and Triple Malignancies

et al. 2019

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Primary and metastatic cardiac sarcomas represent rare neoplasms with a variable clinical course. We present a rare case of an 84-yearold man with a cardiac pacemaker and heart osteosarcoma, hepatocellular and prostatic carcinoma, who was admitted with suspected symptoms of infective endocarditis. Findings of cardiac osteosarcoma in a patient with a pacemaker and three malignancies have not been reported before in the literature.

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Cardiovascular involvement by osteosarcoma: an analysis of 20 patients

et al. 2015

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Background Although hematogenous spread of osteosarcoma is well known, the imaging findings of cardiovascular involvement by osteosarcoma are seldom reported and can be difficult to recognize. The enhanced resolution of modern CT and MRI scanners may lead to better detection of cardiovascular involvement. Objective To describe the key imaging findings and clinical behavior of cardiovascular involvement by osteosarcoma. Materials and methods We retrospectively reviewed the imaging findings and clinical characteristics of 20 patients with cardiovascular involvement by osteosarcoma identified by two pediatric radiologists from a review of imaging studies at our institution from 2007 to 2013. Results At initial diagnosis, the median age of the patients was 15.1 years (range 4.8–24.6 years), and 7 (35%) patients had detectable metastases. Median time to detection of cardiovascular metastases was 1.8 years (range 0–7.3 years). Sixteen patients died of disease; 4 have survived a median of 7.4 years since initial diagnosis. The sites of cardiovascular involvement were the systemic veins draining the primary and metastatic osteosarcoma, pulmonary arteries, pulmonary veins draining the pulmonary metastases, and heart. A dilated and mineralized terminal pulmonary arteriole is an early sign of metastatic osteosarcoma in the lung. Unfamiliarity with the imaging features resulted in under-recognition and misinterpretation of intravascular tumor thrombus as bland thrombus. Conclusion Knowledge of imaging findings in the era of modern imaging modalities has enhanced our ability to detect cardiovascular involvement and lung metastases early and avoid misinterpreting tumor thrombus in draining systemic veins or pulmonary arteries as bland thrombus.

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Recurrent Cardiac Metastasis of Primary Femoral Osteosarcoma: A Case Report

Cited by 8 publications

References 6 publications

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

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

Heart Osteosarcoma Presenting as Infective Endocarditis: A Case Report of a Patient With a Cardiac Pacemaker and Triple Malignancies

Cardiovascular involvement by osteosarcoma: an analysis of 20 patients

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