Urgent surgical resection of cardiac rhabdomyosarcoma in a 75-year-old male patient improved hemodynamic status and clinical condition prior to adjuvant chemoradiotherapy.
Case Report
No
75-year-old male with metastatic rhabdomyosarcoma originating in the fibular muscles, extending to the left atrium, left ventricle, and bronchi, presenting with acute dyspnea, palpitations, and cardiogenic shock.
Urgent surgical resection of the cardiac mass via median sternotomy under cardiopulmonary bypass, followed by adjuvant chemoradiotherapy (vincristine, epirubicin, and cyclophosphamide).
Clinical improvement and survival to hospital discharge.
This case highlights that urgent surgical resection combined with adjuvant chemoradiotherapy can provide symptomatic relief and stabilize patients presenting with cardiogenic shock due to rare secondary cardiac rhabdomyosarcoma.
Cardiac tumors are rare and complex, with malignant forms carrying a poor prognosis. These tumors are classified as either primary or secondary, with the latter, including metastases, being more prevalent. Rhabdomyosarcoma, a rare but aggressive soft tissue sarcoma, can occasionally metastasize to the heart. Here, we report the case of a 75-year-old male with metastatic rhabdomyosarcoma originating in the fibular muscles, extending to the left atrium, left ventricle, and bronchi. The patient presented with acute dyspnea, palpitations, and cardiogenic shock. Imaging revealed a large intracardiac mass, and urgent surgical resection was performed, followed by adjuvant chemoradiotherapy. The histopathological examination confirmed the diagnosis of rhabdomyosarcoma. Despite the poor prognosis typically associated with metastatic rhabdomyosarcoma, the patient showed clinical improvement post-surgery and continued treatment. This case highlights the aggressive nature of rhabdomyosarcoma with cardiac involvement and underscores the importance of multimodal management, including surgery and adjuvant therapy, to improve patient outcomes.
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Hibat Allah Kamri
Youssef Daoudi
Oumaima Taoussi
Cureus
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Kamri et al. (Thu,) conducted a case report in 75-year-old male with metastatic soft tissue rhabdomyosarcoma originating from fibular muscles with secondary cardiac metastasis involving left atrium, left ventricle, and bronchial extension causing cardiogenic shock (n=1). Urgent surgical resection of cardiac mass followed by adjuvant chemoradiotherapy (vincristine, epirubicin, cyclophosphamide) was evaluated on Clinical improvement and survival post surgical resection of intracardiac metastatic rhabdomyosarcoma. Urgent surgical resection of cardiac rhabdomyosarcoma in a 75-year-old male patient improved hemodynamic status and clinical condition prior to adjuvant chemoradiotherapy.
www.synapsesocial.com/papers/69a287a00a974eb0d3c036e2 — DOI: https://doi.org/10.7759/cureus.104322