VOLUME 37 | ISSUE 5 | SEPTEMBER-OCTOBER 2017

Case Report Font size: Decrease font Enlarge font

Primary leiomyosarcoma of the atrium with heterologous differentiation

Shaesta Zaidi, Sufia Husain, Dona Barakah

From the Department of Pathology, King Khaled University Hospital, King Saud University, Riyadh, Saudi Arabia 

How to cite this article:

Zaidi S, Husain S, Barakah D. Primary leiomyosarcoma of the atrium with heterologous differentiation. Ann Saudi Med 2017; 37(5): 403-405.

DOI: 10.5144/0256-4947.2017.403

Abstract

We report a case of a 47-year-old female who presented with breathlessness and palpitations for two weeks. On clinical evaluation, bilateral pedal edema was noticed. A CT pulmonary angiogram showed a mass in the left atrium causing significant obstruction to cardiovascular outflow. After extensive work-up, the mass was surgically resected. Histopathological findings from the acquired specimen revealed a high-grade leiomyosarcoma with extensive necrosis and heterologous (cartilaginous) differentiation. The early postoperative period was complicated by cardiac tamponade and the patient died on the second postoperative day due to ventricular arrhythmia, shock and multiorgan failure. 


SIMILAR CASES PUBLISHED: No similar cases published. 

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