Journal of Cardio-Thoracic Medicine

Journal of Cardio-Thoracic Medicine

Uterine Leiomyosarcoma: Infrequent Cardiac and Brain Metastasis A Case Report

Document Type : Case Report

Authors
Jorge Eduardo Rodríguez Delgado
Margarito Morales Cruz
Christopher Jesús López Hernández
Maximiliano Rodríguez Morales
Jairo Viscarra León
María Torres Álvarez
Guillermo Díaz Quiroz
José Luis Aceves Chimal
Department of Cardiovascular Surgery, CMN “20 de Noviembre”, ISSSTE, Mexico City, Mexico.
10.22038/jctm.2022.66265.1387
Abstract
Uterine neoplasm metastases to heart is infrequent, especially from uterine cancer, although it is possible because leiomyosarcoma is very invasive. We present a case of a 33 years old woman with 9 months evolution of this neoplasm.  By cardiac and brain symptomatology, this patient was diagnosed with cardiac and brain tumors in imaging studies. The patient underwent tumors resection by cardiac surgery and stereotaxic procedure and subsequent chemo and radiotherapy, without neurological and cardiac symptoms in her evolution.
Keywords
Cardiac Metastasis
Leiomyosarcoma
Uterine neoplasms
  1. Juhasz-Böss I, Gabriel L, Bohle RM, Horn LC, Solomayer EF, Breitbach GP. Uterine leiomyosarcoma. Oncology research and treatment. 2018;41(11):680-6.
  2. Roberts ME, Aynardi JT, Chu CS. Uterine leiomyosarcoma: A review of the literature and update on management options. Gynecologic Oncology. 2018 Dec 1;151(3):562-72.
  3. Maebayashi A, Nagaishi M, Nakajima T, Hata M, Xiaoyan T, Kawana K. Successful surgical treatment of cardiac metastasis from uterine leiomyosarcoma: a case report and literature review. Journal of Obstetrics and Gynaecology Research. 2020 May;46(5):795-800.
  4. Tunio MA, Al-Asiri M, Fareed MM. Uterine leiomyosarcoma metastasizing to the heart. J Coll Physicians Surg Pak. 2014 Mar 1;24(Suppl 1):S20-1.
  5. Takenaka S, Hashimoto N, Araki N, Hamada K, Naka N, Joyama S, et al. Eleven cases of cardiac metastases from soft-tissue sarcomas. Japanese Journal of Clinical Oncology. 2011 Apr 1;41(4):514-8.
Journal of Cardio-Thoracic Medicine
Volume 10, Issue 4
Autumn 2022
Pages 1099-1101