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Clinical Medicine & Research
Volume 1, Number 3 : 233 -238
doi:
© 2003 Marshfield Clinic
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Case Report

Unsuspected Widespread Cardiac Sarcoma in a Child

Michael E. Spieth, MD

Department of Radiology, Nuclear Medicine Section, Marshfield Clinic, Marshfield, Wisconsin

Darcy l. Kasner

Marshfield Clinic Research Foundation, Marshfield, Wisconsin

Latha Prasannan, MD*

Department of Pediatrics, Marshfield Clinic, Marshfield, Wisconsin

REPRINT REQUESTS: Michael E. Spieth, MD, Department of Radiology, Section of Nuclear Medicine, Marshfield Clinic, Mailstop: H-1N-NM, 1000 North Oak Avenue, Marshfield, WI 54449, Telephone: 715-387-7787, Fax: 715-387-7775, Email: spieth.michael{at}marshfieldclinic.org

The case of a patient with an undifferentiated metastatic cardiac sarcoma is presented. A thallium-201 tumor study was performed to evaluate lung nodules. Thallium-201 chloride was injected intravenously and whole body images, as well as single photon emission computer tomography (SPECT) imaging of the chest, were obtained and reconstructed. They were displayed in three planes and then reconstructed again in cardiac planes. Multiple unsuspected metastases were found in the lower extremities. Viable tumor was demonstrated in both cerebral hemispheres. The lung nodules were not clearly identified. However, cold areas in the myocardium were detected corresponding to the findings on magnetic resonance imaging (MRI). In retrospect, at least one abdominal metastasis was identified. Whole body tumor imaging plays an important role in finding unsuspected primaries and in staging neoplasms to optimize patient care.

Key Words: Thallium-201 • Metastatic cardiac sarcoma • Tumor imaging • Whole body imaging






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