Alveolar soft part sarcoma in brain with cardiac metastasis

Alveolar Soft Part Sarcoma with Unusual Cardiac Metastasis: A Case Report and Review of the Literature

“…The patient succumbed to cachexia and biopsy or resection of the cardiac tumor was not performed [17]. Akiyama et al reported a case of ASPS of the right thigh which was surgically removed and later metastasized to lungs, brain, intestines, and heart [18]. Strecker et al reported a case of ASPS of right thigh with brain and later cardiac metastases, which could be excised partially [19].…”

“…Although rarely curative, the cornerstone of treatment remains surgical excision of the primary and isolated metastases [12, 18]. Radiotherapy should be added as a supplemental procedure if there is partial resection of the tumor, positive surgical margin, or presence of symptomatic metastasis.…”

Hemangioma located just above the left main coronary artery, in a subject who had cardiac arrest due to ventricular fibrillation, led to a diagnosis of Brugada syndrome

“…After this, the patient should always be followed-up with imaging examinations. CT and echocardiography are accurate, noninvasive, imaging modalities for detecting cardiac tumors [15][16][17][18][19][20][21][22], and both can be repeated on a regular basis. In patients with implantable cardioverter-defibrillators, these modalities are particularly useful because MRI is impossible for these patients.…”

Giant Metastatic Alveolar Soft Part Sarcoma in the Left Ventricle: Appearance in Echocardiography, Magnetic Resonance Imaging, and Histopathology

“…3,4 The common sites of metastasis are lung, bone, and brain. 5 The coexistence of ASPS and cardiac metastasis is very rare 6 ; however, because ASPS might metastasize to the heart and induce severe heart failure, a cardiac examination should be performed in patients with ASPS. Clinical symptoms of these cardiac tumors could be absent or nonspecific, so their diagnosis and treatment may be delayed.…”