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10.5606/tgkdc.dergisi.2013.5142
Cardiac metastasis of clear cell sarcoma
İsa Coşkun1, Orhan Saim Demirtürk1, Hakan Altay2, Emine Tuba Canpolat3, Murat Güvener1
1Department of Cardiovascular Surgery, Başkent University, Adana Teaching and Research Center, Adana, Turkey
2Department of Cardiology, Başkent University, Adana Teaching and Research Center, Adana, Turkey
3Department of Pathology, Başkent University, Adana Teaching and Research Center, Adana, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.5142
Clear cell sarcoma is a rare soft tissue tumor. Cardiac
metastasis of clear cell sarcoma is seen even rarely. A
34-year-old female patient was admitted to our hospital
with the complaints of pain and swelling on the posterior
aspect of her right knee. She was operated and the popliteal
mass was removed with clean surgical borders. Fourteen
months following diagnosis, the patient applied to our clinic
with a metastatic mass of 47x33 mm size at the junction of
the right atrium and right ventricle. A pericardial window
was opened and pericardial resection was made through
left anterolateral thoracotomy. Biopsy of the lesions in the
right ventricle showed similar findings with the popliteal
tumor and was reported as clear cell carcinoma metastasis.
The patient was re-hospitalized in the second month of the
follow-up. Cardiac arrest occurred during the supportive
therapy. Emergent median sternotomy was performed.
Tumor mass had grown extremely large. The patient died.
In this article, metastasis of clear cell sarcoma to the heart
was reported for the first time. The involvement of heart
by clear cell sarcoma was aggressive. Although pericardial
resection and opening a pericardial window provided
temporary relief, the prognosis was fatal due to rapid
growth of the tumor.
Keywords : Cardiac metastasis; clear cell sarcoma; soft tissue tumors
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