Primary Cardiac Sarcoma, Diagnostic and Therapeutic Challenges in Resource Limited Setting: Case Report
Merga Daba Mulisa1*, Shalom Kassahun Bekele1, Sisay Bekele Woldemichael2, Sitota Ganjula Gaito3, Fadil Nuredin Abrar4, Betelhem Gebreamlak Hailu4
1 Department of Internal Medicine, School of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
2 Cardiothoracic Unit, Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
3 Cardiology Unit, Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
4 Department of Pathology, School of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Citation: Mulisa MD, Bekele SK, Woldemichael SB, Gaito SG, Abrar FN (2024) Primary Cardiac Sarcoma, Diagnostic and Therapeutic Challenges in Resource Limited Setting: Case Report. SciTech Biomed-Cancer 2024.
Received: February 05, 2024 Accepted: February 05, 2024 Published: February 05, 2024
Abstract
Introduction: Left atrial masses are commonly caused by atrial myxomas and metastatic tumors. Primary cardiac sarcomas are rare. Patients present with symptoms related to the tumor location.
Case presentation: There are only a few case reports on this rare disease. We report the case of a 17 years old male patient presented with shortness of breath for 2-month duration. Echocardiography revealed a left atrial mass that was later surgically excised and histopathology confirmed a primary cardiac sarcoma. We discuss the diagnostic and therapeutic challenges encountered in the management of this rare disease. To the best of our knowledge, this is the first case reported in East Africa.
Conclusion: In conclusion, patients with primary cardiac sarcoma may have been misdiagnosed with atrial myxoma, as observed in our study. The prognosis of patients with this rare disease is poor.