Journal of the Korean Society of Stereotactic and Functional Neurosurgery 2008;4(1):50-52.
Published online June 30, 2008.
Metastatic Cardiac Fibrosarcoma Managed with Gamma Knife Radiosurgery (GKRS)
In Uk Lyo, Soon Chan Kwon, Jun Bum Park, Do Hoon Kwon
Department of Neurological Surgery, Ulsan University Hospital and Asan Medical Center, College of Medicine, University of Ulsan, Ulsan, Korea
Abstract
Primary cardiac tumors are very rare. In large postmortem series, combined incidences of only 0.0017-0.03% for both benign and malignant sarcomas have been reported. Sarcomas are the predominant subtype of malignant primary cardiac tumors and account for over 75% of these malignancies. Of these, cardiac fibrosarcoma and its brain metastasis is even rarer. Using GKRS, multiple brain metastases from a fibrosarcoma originating from the left atrium of the heart of a 37-year-old woman were managed 5 times over two and a half years. This is the first report of a case of metastatic brain fibrosarcoma from the heart that was successfully managed with radiosurgery.
Key Words: Cardiac, Fibrosarcoma, Metastasis, Radiosurgery.


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