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- Title
A Rare Case of Undifferentiated Pleomorphic Cardiac Sarcoma with Inflammatory Pattern.
- Authors
Stoica, Alexandra Iulia; Harpa, Marius Mihai; Banceu, Cosmin Marian; Ghiragosian, Claudiu; Opris, Carmen Elena; Al-Hussein, Hussam; Al-Hussein, Hamida; Flamind Oltean, Sanziana; Mezei, Tibor; Mares, Razvan Gheorghita; Suciu, Horatiu
- Abstract
Cardiac undifferentiated pleomorphic sarcoma (UPS) associated with fever and inflammatory response is an extremely rare condition. Herein, we report a rare case of cardiac UPS with unusual clinical presentation and inflammatory response. A 67-year-old male complaining of progressive dyspnea and intermittent fever of unknown cause was referred to our hospital for surgical resection of a left atrial mass. Laboratory analysis showed leukocytosis (26 × 103/μL) and high C-reactive protein (CRP) levels (155.4 mg/L). Hemoculture tests and urine analysis were negative for infection. A contrast chest computed tomography revealed a mass measuring 5.5 × 4.5 cm, occupying the left atrium cavity. The patient underwent surgical excision of the mass, however, surgical margin of the resected tumor could not be evaluated, due to the multifragmented nature of the resection specimen. Postoperative CRP and leukocyte levels normalized, highlighting the relationship between the tumor and the inflammatory status. Early diagnosis is crucial for a proper management and favorable outcome, enabling patients to undergo chemotherapy and achieve complete surgical resection.
- Subjects
SARCOMA; MALARIA; SYMPTOMS; SURGICAL margin; LEFT heart atrium
- Publication
Medicina (1010660X), 2022, Vol 58, Issue 8, p1009
- ISSN
1010-660X
- Publication type
Case Study
- DOI
10.3390/medicina58081009