Open Access Case Report

Osseous Heart- A Rare Case of Metastatic Osteosarcoma to the Heart

Arnaldo A Nieves Ortiz1*, Kyomara Hernández Moya1, Arnaldo Rojas Figueroa1, Vanessa Fonseca Ferrer1, Hernan Gonzalez Monroig2, Jonathan Martinez Feshold1, William Marrero1, Gabriela Torres Torres1, Alexis Cruz Chacón2, Rafael Rivera Berrios3 and Teodosio Rucabado4

1Internal Medicine Department, San Juan City Hospital, Puerto Rico

2Hematology/Oncology Fellowship, San Juan City Hospital/VA Caribbean Healthcare System, Puerto Rico

3Cardiovascular Department Fellowship, Saint Luke’s Episcopal Medical Center, Puerto Rico

4Cardiovascular Department, San Juan City Hospital, Puerto Rico

Corresponding Author

Received Date:July 21, 2021;  Published Date:August 05, 2021

Abstract

Osteosarcomas are uncommon malignant tumors of the bone that arise from the production of osteoid or immature bone by the malignant cells. In rare occasions this tumor metastasizes to other organs including the brain and lungs. Although hematogenous spread of osteosarcoma is well known, cardiovascular metastasis is seldomly reported. Most cases of metastatic osteosarcoma to the heart involve the myocardium rather than the pericardium. The right side of the heart is affected in 20–30% of cases and the left side in 10–33% of reported cases. Only 5% of cases affect the endocardium or chamber cavities. Clinical signs and symptoms of metastatic cardiac neoplasms include dyspnea, cough, chest pain, palpitations, superior vena cava syndrome, right ventricular outflow tract obstruction and pericardial effusion [1].

Keywords:Cardiac Osteosarcomas; GM-CSF autoantibodies; Autoimmune

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