Isolated symptomatic cardiac recurrence of endometrial stromal sarcoma treated successfully with surgical resection

Academic Article


  • Background: Despite its favorable prognosis, endometrial stromal sarcoma (ESS) commonly recurs in the abdomen and pelvis. Rarely, it recurs in the cardiovascular system. A case of isolated cardiac ESS recurrence without concurrent vascular or abdominal disease is presented in this report. Case: A 53-year-old woman with previously diagnosed and treated ESS presented to her physician with tachycardia and fatigue. Transthoracic echocardiogram revealed an intra-atrial pedunculated mass without caval involvement. Results: Surgical resection was performed successfully with alleviation of the patient'sher symptoms. Pathology confirmed isolated intracardiac recurrent ESS. Conclusions: This is the first documented case of intracardiac recurrence of ESS without concurrent abdominal or intracaval disease. This isolated recurrence supports a hematogenous mechanism of spread for ESS rather than intracavitary diffusion. Aggressive surgical management continues to be an option for treatment. © 2012 Mary Ann Liebert, Inc.
  • Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 25671255
  • Author List

  • Erickson BK; Subramaniam A; Schneider KE; Conner MG; Barnes MN
  • Start Page

  • 140
  • End Page

  • 142
  • Volume

  • 28
  • Issue

  • 2