Year: 2025
Type: article
Study design: Case Report
Abstract: We present the case of a 58-year-old male with a history of smoking and hypertension, who was diagnosed with and treated for a myxoid liposarcoma of the right thigh. After undergoing surgical resection with negative margins and adjuvant radiotherapy, the patient remained asymptomatic. During a scheduled two-year routine imaging follow-up, a suspicious mass was identified in the right ventricle, incidentally detected on a surveillance scan without preceding clinical symptoms, leading to the diagnosis of metastatic cardiac myxoid liposarcoma. Multimodal imaging, including echocardiography, CT scan, and cardiac MRI, provided crucial insights into the tumor's characteristics. CT detected the lesion and its anatomical localization. MRI confirmed its lipomatous composition and helped exclude differentials. Echocardiography assessed intracardiac involvement and hemodynamic impact. Surgical resection of the cardiac mass confirmed the diagnosis after histopathologic examination. Despite successful treatment, the patient later died from a myocardial infarction secondary to coronary artery disease, which was not linked to the tumor or surgical events. This case highlights the rarity and diagnostic challenges of metastatic cardiac liposarcoma and emphasizes the role of advanced imaging and surgical intervention in its management.
Source: Cureus
DOI: 10.7759/cureus.81727
Authors: Hamza Retal, Imad Bougrine, Soumya El Graini, Tarik Salaheddine, Jamal El Fenni
Institution: Centre Hospitalier Ibn Sina
Language: English
Topic: Cardiac tumors and thrombi
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4409149754