From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasis

Cardiac tumours can be classified as neoplastic or non-neoplastic, with secondary tumours being significantly more common than primary ones. Among secondary tumours, melanoma has the highest propensity for cardiac involvement. Pleomorphic dermal sarcoma (PDS) is a rare skin neoplasm, with an estimat...

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Main Authors: Maria Gabriela Matta, MD MSc, Dipesh Raniga, MD, Vinicius Carraro do Nascimento, MD, Gayle Therese Hill, BSc, Mohamed Nasser Essack, MD, Ian Agahari, MD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013566
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author Maria Gabriela Matta, MD MSc
Dipesh Raniga, MD
Vinicius Carraro do Nascimento, MD
Gayle Therese Hill, BSc
Mohamed Nasser Essack, MD
Ian Agahari, MD
author_facet Maria Gabriela Matta, MD MSc
Dipesh Raniga, MD
Vinicius Carraro do Nascimento, MD
Gayle Therese Hill, BSc
Mohamed Nasser Essack, MD
Ian Agahari, MD
author_sort Maria Gabriela Matta, MD MSc
collection DOAJ
description Cardiac tumours can be classified as neoplastic or non-neoplastic, with secondary tumours being significantly more common than primary ones. Among secondary tumours, melanoma has the highest propensity for cardiac involvement. Pleomorphic dermal sarcoma (PDS) is a rare skin neoplasm, with an estimated metastatic risk of 10% to 20%. This report presents the case of a 52-year-old male who, after a history of PDS, developed cardiac metastasis 4 years postexcision. Despite clear surgical margins and adjuvant radiotherapy, he later exhibited metastatic disease affecting the lungs and heart. Advanced imaging revealed tumour invasion into the left atrium, leading to palliative chemotherapy and ultimately the patient's transition to palliative care 7 months after diagnosis. This case underscores the need for vigilance in monitoring potential metastasis in rare tumours like PDS.
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series Radiology Case Reports
spelling doaj-art-02ad96765717417197fa7a5114d551f72025-01-18T05:04:02ZengElsevierRadiology Case Reports1930-04332025-03-0120315641568From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasisMaria Gabriela Matta, MD MSc0Dipesh Raniga, MD1Vinicius Carraro do Nascimento, MD2Gayle Therese Hill, BSc3Mohamed Nasser Essack, MD4Ian Agahari, MD5Department of Cardiology, Division of Specialist Medical Services, Gold Coast Hospital and Health Services, Southport, QLD 4215, Australia; Corresponding author.Department of Cardiology, Division of Specialist Medical Services, Gold Coast Hospital and Health Services, Southport, QLD 4215, AustraliaDepartment of Interventional Neuroradiology, Gold Coast University Hospital, Southport, QLD 4215, AustraliaDepartment of Cardiology, Division of Specialist Medical Services, Gold Coast Hospital and Health Services, Southport, QLD 4215, AustraliaDepartment of Cardiology, Division of Specialist Medical Services, Gold Coast Hospital and Health Services, Southport, QLD 4215, AustraliaDepartment of Cardiology, Division of Specialist Medical Services, Gold Coast Hospital and Health Services, Southport, QLD 4215, AustraliaCardiac tumours can be classified as neoplastic or non-neoplastic, with secondary tumours being significantly more common than primary ones. Among secondary tumours, melanoma has the highest propensity for cardiac involvement. Pleomorphic dermal sarcoma (PDS) is a rare skin neoplasm, with an estimated metastatic risk of 10% to 20%. This report presents the case of a 52-year-old male who, after a history of PDS, developed cardiac metastasis 4 years postexcision. Despite clear surgical margins and adjuvant radiotherapy, he later exhibited metastatic disease affecting the lungs and heart. Advanced imaging revealed tumour invasion into the left atrium, leading to palliative chemotherapy and ultimately the patient's transition to palliative care 7 months after diagnosis. This case underscores the need for vigilance in monitoring potential metastasis in rare tumours like PDS.http://www.sciencedirect.com/science/article/pii/S1930043324013566
spellingShingle Maria Gabriela Matta, MD MSc
Dipesh Raniga, MD
Vinicius Carraro do Nascimento, MD
Gayle Therese Hill, BSc
Mohamed Nasser Essack, MD
Ian Agahari, MD
From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasis
Radiology Case Reports
title From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasis
title_full From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasis
title_fullStr From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasis
title_full_unstemmed From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasis
title_short From skin to heart: The rare journey of pleomorphic dermal sarcoma metastasis
title_sort from skin to heart the rare journey of pleomorphic dermal sarcoma metastasis
url http://www.sciencedirect.com/science/article/pii/S1930043324013566
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