Primary Cardiac Angiosarcoma Diagnosed by Multimodality Imaging: A Case Report : Multimodality Imaging of Cardiac Angiosarcoma.

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Qin Zhang, Shuying Luo, Hua Ye, Tao Yang, Tijiang Zhang, Bangguo Li, Hong Yu
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引用次数: 0

Abstract

Background: Primary cardiac tumors are rare. Most primary cardiac tumors are benign, with approximately 10.83% being malignant. We present a rare case of Primary Cardiac Angiosarcoma (PCA) with multiple metastases diagnosed using multimodality imaging, to enhance the understanding of PCA among clinicians and radiologists.

Case description: A 29-year-old woman presented to our hospital with a 2-day history of chest tightness, chest pain, palpitations, and dyspnea after physical activity. Ultrasonography and Computed Tomography (CT) of the heart revealed a mass in the right atrium. Cardiac magnetic resonance imaging suggested either a large cardiac lymphoma or angiosarcoma. The histopathological diagnosis confirmed a cardiac angiosarcoma. Positron Emission Tomography-Computed Tomography (PET/CT) revealed intense 18F-fluorodeoxyglucose (18F-FDG) uptake in the right side of the heart, with a maximum standardized uptake value of 10.9. Three months later, the patient was re-examined using abdominal CT, echocardiography, and PET/CT. PET/CT revealed increased 18F-FDG uptake which had become more extensive, with multifocal metastatic nodules in both the lungs and mediastinum. The patient was lost to follow-up after being discharged on May 1, 2022.

Conclusion: The combined evaluation using multimodality imaging plays a vital role in determining the precise size and localization of the PCA, detecting distant metastases, and assessing patient prognosis.

多模态影像诊断原发性心脏血管肉瘤:1例报告:心脏血管肉瘤的多模态影像。
背景:原发性心脏肿瘤是罕见的。大多数原发性心脏肿瘤为良性,约10.83%为恶性。我们报告一例罕见的原发性心脏血管肉瘤(PCA)合并多发性转移的病例,通过多模态影像学诊断,以提高临床医生和放射科医生对PCA的认识。病例描述:一名29岁女性在体力活动后出现胸闷、胸痛、心悸和呼吸困难2天的病史。心脏超声和计算机断层扫描(CT)显示右心房有肿块。心脏磁共振成像提示大的心脏淋巴瘤或血管肉瘤。组织病理学诊断证实为心脏血管肉瘤。正电子发射断层扫描(PET/CT)显示心脏右侧强烈的18f -氟脱氧葡萄糖(18F-FDG)摄取,最大标准化摄取值为10.9。3个月后复查腹部CT、超声心动图、PET/CT。PET/CT显示18F-FDG摄取增加,并变得更广泛,肺和纵隔均有多灶性转移结节。患者于2022年5月1日出院后失访。结论:多模态影像联合评估对准确确定前列腺癌的大小和定位、发现远处转移、评估患者预后具有重要作用。
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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
246
审稿时长
1 months
期刊介绍: Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
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