Author/Authors :
Ak, İlknur Eskisehir Osmangazi University - Faculty of Medicine - Department of Nuclear Medicine, Turkey , Çiftçi, Öznur Dilek Eskisehir Osmangazi University - Faculty of Medicine - Department of Nuclear Medicine, Turkey , Üstünel, Zeki Eskişehir Ümit Hospital - Clinic of Oncology, Turkey , Sivrikoz, Muammer Cumhur Eskisehir Osmangazi University - Faculty of Medicine - Department of Thoracic Surgery, Turkey
Abstract :
Sarcomas arising primarily in the heart are rare. Angiosarcoma is an extremely rare, most common primary cardiac malignant tumour. We report the F-18 fluorodeoxyglucose positron emission tomography (F-18 FDG PET) / computed tomography (CT) images of a patient with an invasive angiosarcoma arising from the right atrium. A 55-year-old woman with primary high-grade cardiac angiosarcoma underwent tumour resection at another centre was referred to our institution for postoperative F-18 FDG PET/ CT scans to assess the residual/metastatic disease. Preoperative magnetic resonance imaging revealed a 6.5x3.5-cm mass extending along the lateral wall of the right atrium surrounding the inferior vena cava and atria ventricular junction, extending to aortic root as well as into the right pericardium. Concomitant pericardial effusion was noticed. The debulking surgery was performed to remove the mass. Four weeks after surgery, the patient underwent the F-18 FDG PET/CT scans (1hour after the administration of 465 MBq F-18 FDG with the subject fasted for 6 h beforehand).