Patel Tarang, Aswal Priyanka, Jakhetiya Ashish, Meena Virendrakumar, Pandey Arun
Department of Pathology, All India Institute of Medical Sciences (AIIMS), Rajkot, Gujarat, India.
Department of Pathology, Government Medical College, Haldwani, Uttarakhand, India.
Indian J Pathol Microbiol. 2023 Jul-Sep;66(3):601-604. doi: 10.4103/ijpm.ijpm_577_21.
Uterine leiomyosarcoma (ULMS) is a rare malignancy arising from the myometrial smooth muscle wall, and cardiac metastases are extremely rare. Metastasis to the heart is a very unusual finding, and atrial metastasis is even rarer. Here, we report a case of a 45 year old woman who presented with dyspnea and pleural effusion and had a significant history of hysterectomy done for ULMS. Magnetic resonance imaging revealed a left atrial mass, which was resected and revealed to be a metastasis of leiomyosarcoma on histopathology and immunohistochemistry. Metastatic ULMS may rarely present as a left atrial mass with acute clinical presentation. Detailed clinical history and accurate diagnosis are vital for further management.
