Right Ventricular Mass 12 Years after Osteosarcoma: Multimodality Imaging with Pathologic Correlation.
Badr BannanHuda S IsmailFaisal M AlabdulkarimBradley SarakTushar VoraLaura Jimenez-JuanAbha GuptaAndrew T YanDanny MarcuzziGéraldine OngDavid A LatterElsie T NguyenMichael A SeidmanRobert J CusimanoDjeven Parameshvara DevaPublished in: Radiology. Cardiothoracic imaging (2021)
The authors report a 27-year-old woman with a remote left femoral osteosarcoma and amputation above the left knee who presented with a large right ventricular mass. Initial evaluation with thoracic CT was inconclusive regarding thrombus versus tumor, but metastatic osteosarcoma was suggested by findings at transthoracic echocardiography, cardiac CT, and cardiac MRI. The patient underwent tumor debulking, and osteosarcoma was confirmed with pathologic examination. She responded to chemotherapy, which resulted in reduction in size of the residual right ventricular tumor and of a few pulmonary metastases. Following induction chemotherapy, patient remains well undergoing maintenance therapy with an oral tyrosine kinase inhibitor. Keywords: CT, Echocardiography, MR Imaging, Intraoperative, Cardiac, Heart, Right Ventricle, Imaging Sequences, Metastases, Oncology Supplemental material is available for this article. © RSNA, 2021.
Keyphrases
- contrast enhanced
- left ventricular
- computed tomography
- pulmonary hypertension
- neoadjuvant chemotherapy
- locally advanced
- image quality
- dual energy
- magnetic resonance imaging
- high resolution
- squamous cell carcinoma
- case report
- positron emission tomography
- heart failure
- palliative care
- mitral valve
- atrial fibrillation
- knee osteoarthritis
- diffusion weighted imaging
- spinal cord injury
- fluorescence imaging
- bone marrow
- coronary artery