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Osteosarcoma of the lower limb metastasized to the septum and right side of the heart: a case report
- Source :
- Journal of Medical Case Reports, Vol 11, Iss 1, Pp 1-4 (2017), Journal of Medical Case Reports
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- Background Metastatic cardiac tumors are far more common than primary tumors. Although the hematogenous spread of osteosarcoma is well known, the imaging findings of cardiovascular involvement by osteosarcoma are seldom reported and can be difficult to recognize. Case presentation A 21-year-old man of African descent presented to our center complaining of shortness of breath, awareness of heart beats, easy fatigability, swelling of lower limbs, and left-side chest discomfort for the past 6 months getting worse for the last 3 months prior to his third readmission. In 2004 he was admitted with the diagnosis of osteosarcoma of his left calcaneus bone confirmed by bone biopsy and treated at an oncology center with several cycles of radiotherapy and chemotherapy; he was declared cured after 5 years of annual clinical and radiological skeletal survey follow-ups. In the current admission, a physical examination revealed bilateral lower limb swelling, pansystolic murmur on the left side of his sternum at fourth intercostal space (tricuspid area) grade three, hepatomegaly with a liver span of 17 cm, and a positive fluid test and shifting dullness. Conclusions This case report presents a 21-year-old man with relapsed osteosarcoma manifesting as metastatic lesions to his right ventricle encroaching on his interventricular septum, which was identified by transthoracic/transesophageal echocardiography computed tomography scan and cardiac magnetic resonance imaging.
- Subjects :
- Male
medicine.medical_specialty
Sternum
Heart Ventricles
Liver span
lcsh:Medicine
Bone Neoplasms
Case Report
Physical examination
Ventricular Septum
030204 cardiovascular system & hematology
Heart Neoplasms
Young Adult
03 medical and health sciences
Cardiac osteosarcoma
0302 clinical medicine
Cardiac magnetic resonance imaging
Antineoplastic Combined Chemotherapy Protocols
medicine
Humans
030212 general & internal medicine
Interventricular septum
medicine.diagnostic_sign
Cardiac metastasis
Osteosarcoma
Radiotherapy
medicine.diagnostic_test
business.industry
lcsh:R
Shifting dullness
Magnetic resonance imaging
General Medicine
medicine.disease
Magnetic Resonance Imaging
Surgery
Treatment Outcome
medicine.anatomical_structure
Lower Extremity
Echocardiography
Radiology
Tomography, X-Ray Computed
business
Echocardiography, Transesophageal
CT
MRI
Subjects
Details
- Language :
- English
- ISSN :
- 17521947
- Volume :
- 11
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Case Reports
- Accession number :
- edsair.doi.dedup.....8eb9e0565a1006edd0729e7ca5c45a74