Publication Date
12-1-2015
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-14-4235
PMID
26664311
Publication Date(s)
December 2015
Language
English
PMCID
PMC4665285
PubMedCentral® Posted Date
11-1-2015
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Biopsy, Diagnostic Errors, Endometrial Neoplasms, Female, Heart Atria, Heart Neoplasms, Humans, Hysterectomy, Middle Aged, Neoplasm Invasiveness, Ovariectomy, Phlebography, Predictive Value of Tests, Salpingectomy, Sarcoma, Endometrial Stromal, Tomography, X-Ray Computed, Treatment Outcome, Vascular Neoplasms, Vena Cava, Inferior, Venous Thrombosis
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
Endometrial stromal sarcoma metastases usually occur within the pelvis and rarely involve the great vessels or the heart. We present the case of a 55-year-old woman who was referred for endovascular therapy to treat presumed thrombosis of the inferior vena cava. The suspected thrombus was recalcitrant to endovascular removal with use of an AngioVac venous drainage device. Results of an intraprocedural transvenous biopsy revealed the mass to be the intravascular extension of an endometrial stromal sarcoma. The patient underwent surgical excision of the tumor, and, shortly thereafter, a hysterectomy and salpingo-oophorectomy. This complex case highlights both the rarity of malignancy masquerading as caval thrombus and the importance of multispecialty collaboration.