Rapidly growing primary cardiac leiomyosarcoma: Report of a case

Primary cardiac leiomyosarcomas are very rare. A 19-year-old man was admitt ed to a local hospital with dyspnea and hemoptysis. He was later transferre d to our hospital because of his worsening dyspnea. An enhanced chest compu ted tomography scan demonstrated a large mass in the left atrium. A transth oracic echocardiogram showed a large mobile mass in the left atrium. The tu mor was totally resected. The pathshistological examination showed leiomyos arcoma. The tumor rapidly recurred, and a second and third operation were p erformed. After the third operation, the patient was treated with radiother apy. There was no local recurrence but multiple distant metastases were fou nd 2 months after completion of radiation therapy.