Acute myeloid leukaemia relapse presenting as cardiac myeloid sarcoma

BMJ Case Rep. 2018 Nov 1:2018:bcr2018224419. doi: 10.1136/bcr-2018-224419.

Abstract

A 50-year-old woman previously diagnosed with acute myeloid leukaemia presented with a 3-month history of shortness of breath and a right-sided facial rash. A chest CT revealed an intracardiac mass in the right atrium extending into her superior and inferior vena cava. Surgery was performed to remove the mass and pathology was consistent with myeloid sarcoma. After surgery, adjuvant radiation therapy was directed to the residual disease. The patient eventually relapsed in other sites not including the right atrium and eventually succumbed to her disease.

Keywords: cancer - see oncology; chemotherapy; radiotherapy.

Publication types

  • Case Reports

MeSH terms

  • Fatal Outcome
  • Female
  • Heart Atria / diagnostic imaging
  • Heart Atria / pathology
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / pathology*
  • Heart Neoplasms / surgery
  • Humans
  • Leukemia, Myeloid, Acute / complications*
  • Leukemia, Myeloid, Acute / pathology
  • Middle Aged
  • Radiotherapy, Adjuvant / methods
  • Recurrence
  • Sarcoma, Myeloid / pathology*
  • Sarcoma, Myeloid / radiotherapy
  • Sarcoma, Myeloid / surgery
  • Superior Vena Cava Syndrome / diagnostic imaging
  • Superior Vena Cava Syndrome / pathology
  • Tomography, X-Ray Computed / methods