A recidivant primary cardiac osteosarcoma: the role of bone scans |
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| Authors: | Maria Carmen Gomez-Rubin Juan Carlos S. Rios David Dobarro Angel Sanchez-Recalde Montserrat Bret-Zurita David Filgueiras Mar Moreno-Yanguela Isabel Mate Manuel Nistal Jose Lopez-Sendon |
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| Affiliation: | 1. Cardiology Department, La Paz University Hospital, Madrid, Spain;2. Pathology Department, La Paz University Hospital, Madrid, Spain;3. Radiology Department, La Paz University Hospital, Madrid, Spain;2. Radiology Department, Hospital Clinic, University of Barcelona, Barcelona, Catalonia, Spain;2. University Health Network, Toronto, Ontario, Canada;2. Bordeaux University Hospital, LIRYC Institute/INSERM 1045, Bordeaux, France;3. Free University of Brussels (UZ Brussel) VUB, Brussel, Belgium;4. CHU de Toulouse, Toulouse, France;5. Cardiology Department, University Hospital of Antwerp, Antwerp, Belgium;11. Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba;12. Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan;8. Hospital Clínic Universitario de Barcelona, Institut du Thorax, Barcelona, Spain;9. Complejo Hospitalario Canalejo, La Coruña, Spain;1. Heart Center University of Freiburg, Department of Cardiology and Angiology I, Freiburg, Germany;2. University Medical Center Freiburg, Department of Radiology, Medical Physics, Freiburg, Germany;3. Cardiovascular Research Center, Division of Cardiology, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA;4. Department of Diagnostic, Interventional and Pediatric Radiology, University Hospital of Bern, Bern, Switzerland |
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| Abstract: | Primary cardiac tumors are infrequent, less than 15–20% are malignant, and most of them are sarcomas. Primary recidivant cardiac osteosarcomas are extremely rare, only a few cases have been reported, and the prognosis is ominous. We report a case of a primary cardiac osteosarcoma in a 70-year-old woman who was admitted to the hospital for evaluation of congestive heart failure. Despite the wide resection of the tumor, a local and metastatic recurrence was diagnosed. In this report, we illustrate the utility of image techniques for the diagnosis and the monitoring of primary cardiac tumors, especially the role of bone scintigraphy. This technique is not a routine procedure for the cardiologist, but it has been very useful in this case in order to decide the optimal treatment. |
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