Hasan Mohammed AlswiketImam Abdulrahman Bin Faisal University; College of Medicine, KSA
Title: Multidisciplinary approach for a rare metastatic low-grade endometrial stromal sarcoma to the inferior vena cava and the right atrium
Endometrial Stromal Sarcoma (ESS) is a rare, malignant tumor of the endometrium. Low-Grade Endometrial Stromal Sarcoma (LG-ESS) is a less aggressive subtype of ESS that rarely metastasizes to the heart and large blood vessels. In the present study, we report a case of recurrent LG-ESS after treating the initial mass in the uterus six years ago in a 49-year-old female who presented with a four-month history of dyspnea and easy fatigability. Investigations revealed a right pulmonary embolism, suspicious right psoas muscle mass, and a large Inferior Vena Cava (IVC) thrombus. One month later, she presented with multiple gastrointestinal symptoms and weight loss. Investigations then showed the development of a new right atrial mass, infra-diaphragmatic metastatic lymphadenopathy, progression of the presacral soft tissue component, invasion of the ileal bowel loop, and a tumoral thrombus in the IVC besides new metastatic lymphadenopathy and pulmonary metastasis. Therefore, a multidisciplinary team, which had a crucial role in this complicated case, decided to commence chemotherapy treatment. Such an unusual aggressive metastatic course of LG-ESS is limited in the literature; herein, we recognize a rarely documented disease.
Hasan Alswiket is a fifth-year medical student at Imam Abdulrahman Bin Faisal University in Saudi Arabia. He is the first author of the submitted abstract that was published in 2022 Dec 2. Interested in cardiothoracic surgery and working on multiple researches in this specialty.