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Case Reports
. 2023 Aug 23;15(8):e43962.
doi: 10.7759/cureus.43962. eCollection 2023 Aug.

Cardiac Angiosarcoma With Pulmonary Metastasis: A Rare and Challenging Case

Adesola A Agboola  1 , Adetola F Oshikoya  2   3 , Oluwatobiloba F Fasoranti-Sowemimo  4 , Priyanka Sachdev  5 , Iqra Samreen  6 , Chinyere L Anigbo  7 , Muhammad Haseeb  8   9 , Hira Nasir  10
Affiliations
Case Reports

Cardiac Angiosarcoma With Pulmonary Metastasis: A Rare and Challenging Case

Adesola A Agboola et al. Cureus. .

Abstract

Cardiac angiosarcoma is a rare and aggressive malignant tumor arising from the endothelial cells of the heart. It accounts for only a small fraction of all cardiac neoplasms and has a poor prognosis. We present a challenging case of a 20-year-old student who presented exertional dyspnea, palpitation, and occasional chest discomfort. Her clinical picture, radiological and pathological investigations confirm the diagnosis of cardiac angiosarcoma with pulmonary metastasis. This case highlights the importance of early diagnosis and multidisciplinary management for improved patient outcomes.

Keywords: cardiac tumor in adults; metastatic cardio angiosarcoma; primary cardiac angiosarcoma; primary cardiac tumor; pulmonary metastasis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Electrocardiogram demonstrating sinus tachycardia.
Figure 2
Figure 2. Echocardiogram revealing intracardiac lesion in the right atrium.
Figure 3
Figure 3. CT chest revealing intracardiac lesion with scattered pulmonary nodules (blue arrows).
Figure 4
Figure 4. Histopathology of the specimen demonstrating nuclear atypia, abundant mitotic figure, and vascular channels.
See this image and copyright information in PMC

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