A RARE CASE OF CARDIAC METASTASIS FROM UTERINE LEIOMYOSARCOMA: A CASE REPORT

- Sidi Mohammed Ben Abdellah University Faculty of Medicine and Pharmacy of Fes. Gynecology and obstetrics department I University hospital Hassan II, Fes, Morocco.
- Mother-and-Child Intensive Care, University hospital Hassan II, Fes, Morocco.
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Uterine leiomyosarcomas (ULMS) are rare malignant tumors of smooth muscle origin. Cardiac metastases from ULMS are extremely uncommon and remain underreported. Herein, we present the case of a 57-year-old woman with locally advanced uterine leiomyosarcoma who developed an intracardiac metastasis. Following chemotherapy, radiotherapy, and subsequent surgery for the primary tumor, postoperative imaging unexpectedly revealed a massive right atrial thrombus extending into the inferior vena cava, later confirmed to be metastatic. Despite surgical intervention, complete resection of the thrombus was not achieved, leading to the patient's demise from progressive heart failure. This case emphasizes the potential for cardiac involvement in ULMS and highlights the importance of considering metastatic cardiac lesions in the differential diagnosis of intracavitary masses.
[A. Lahkim Bennani, M. Bendahhou Idrissi, K. Laaouini, N. Mamouni, S. Errarhay, C. Bouchikhi , A. Banani, M. Belfatmi, D. Doughmi, S. Benlamkadem, A. Berdrai and M. Harrandou (2025); A RARE CASE OF CARDIAC METASTASIS FROM UTERINE LEIOMYOSARCOMA: A CASE REPORT Int. J. of Adv. Res. (Apr). 344-348] (ISSN 2320-5407). www.journalijar.com
Gynecology and obstetrics department 1, university hospital Hassan II. Sidi Mohammed Ben Abdallah university
Morocco