A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature

Uterine leiomyosarcoma (ULMS) is a rare malignancy arising from the myometrial smooth muscle wall, and cardiac metastases are extremely rare. Metastasis to the heart is a very unusual finding, and atrial metastasis is even rarer. Here, we report a case of a 45 year old woman who presented with dyspn...

Full description

Saved in:
Bibliographic Details
Main Authors: Tarang Patel, Priyanka Aswal, Ashish Jakhetiya, Virendrakumar Meena, Arun Pandey
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpm.ijpm_577_21
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1825206088999370752
author Tarang Patel
Priyanka Aswal
Ashish Jakhetiya
Virendrakumar Meena
Arun Pandey
author_facet Tarang Patel
Priyanka Aswal
Ashish Jakhetiya
Virendrakumar Meena
Arun Pandey
author_sort Tarang Patel
collection DOAJ
description Uterine leiomyosarcoma (ULMS) is a rare malignancy arising from the myometrial smooth muscle wall, and cardiac metastases are extremely rare. Metastasis to the heart is a very unusual finding, and atrial metastasis is even rarer. Here, we report a case of a 45 year old woman who presented with dyspnea and pleural effusion and had a significant history of hysterectomy done for ULMS. Magnetic resonance imaging revealed a left atrial mass, which was resected and revealed to be a metastasis of leiomyosarcoma on histopathology and immunohistochemistry. Metastatic ULMS may rarely present as a left atrial mass with acute clinical presentation. Detailed clinical history and accurate diagnosis are vital for further management.
format Article
id doaj-art-7df34d43eb1045078787d24544beca6c
institution Kabale University
issn 0377-4929
language English
publishDate 2023-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Pathology and Microbiology
spelling doaj-art-7df34d43eb1045078787d24544beca6c2025-02-07T13:33:59ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292023-07-0166360160410.4103/ijpm.ijpm_577_21A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literatureTarang PatelPriyanka AswalAshish JakhetiyaVirendrakumar MeenaArun PandeyUterine leiomyosarcoma (ULMS) is a rare malignancy arising from the myometrial smooth muscle wall, and cardiac metastases are extremely rare. Metastasis to the heart is a very unusual finding, and atrial metastasis is even rarer. Here, we report a case of a 45 year old woman who presented with dyspnea and pleural effusion and had a significant history of hysterectomy done for ULMS. Magnetic resonance imaging revealed a left atrial mass, which was resected and revealed to be a metastasis of leiomyosarcoma on histopathology and immunohistochemistry. Metastatic ULMS may rarely present as a left atrial mass with acute clinical presentation. Detailed clinical history and accurate diagnosis are vital for further management.https://journals.lww.com/10.4103/ijpm.ijpm_577_21left atrial massmetastasisright lung massuterine leiomyosarcomas
spellingShingle Tarang Patel
Priyanka Aswal
Ashish Jakhetiya
Virendrakumar Meena
Arun Pandey
A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature
Indian Journal of Pathology and Microbiology
left atrial mass
metastasis
right lung mass
uterine leiomyosarcomas
title A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature
title_full A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature
title_fullStr A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature
title_full_unstemmed A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature
title_short A novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature
title_sort novel case of left atrial and right lung mass turned out to be unconventional metastasis of uterine leiomyosarcoma with a review of literature
topic left atrial mass
metastasis
right lung mass
uterine leiomyosarcomas
url https://journals.lww.com/10.4103/ijpm.ijpm_577_21
work_keys_str_mv AT tarangpatel anovelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT priyankaaswal anovelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT ashishjakhetiya anovelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT virendrakumarmeena anovelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT arunpandey anovelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT tarangpatel novelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT priyankaaswal novelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT ashishjakhetiya novelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT virendrakumarmeena novelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature
AT arunpandey novelcaseofleftatrialandrightlungmassturnedouttobeunconventionalmetastasisofuterineleiomyosarcomawithareviewofliterature