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An uncommon case of primary cardiac sarcoma with an acute presentation: the role of multimodality imaging.
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  • Luca Restivo,
  • Antonio De Luca,
  • Bruno Pinamonti,
  • Giulia Grilli,
  • Alessandro Bologna,
  • Manuel Belgrano,
  • Rossana Bussani,
  • Franco Cominotto,
  • Carmelo Crisafulli,
  • Aniello Pappalardo
Luca Restivo
Azienda Sanitaria Universitaria Giuliano-Isontina and University of Trieste, Italy
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Antonio De Luca
Azienda Sanitaria Universitaria Giuliano-Isontina and University of Trieste, Italy
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Bruno Pinamonti
Azienda Sanitaria Universitaria Giuliano-Isontina and University of Trieste, Italy
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Giulia Grilli
Azienda Sanitaria Universitaria Giuliano-Isontina and University of Trieste, Italy
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Alessandro Bologna
Azienda Sanitaria Universitaria Giuliano-Isontina, Trieste, Italy
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Manuel Belgrano
Azienda Sanitaria Universitaria Giuliano-Isontina and University of Trieste, Italy
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Rossana Bussani
Azienda Sanitaria Universitaria Giuliano-Isontina and University of Trieste, Italy
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Franco Cominotto
Azienda Sanitaria Universitaria Giuliano-Isontina, Trieste, Italy
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Carmelo Crisafulli
Azienda Sanitaria Universitaria Giuliano-Isontina and University of Trieste, Italy
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Aniello Pappalardo
Azienda Sanitaria Universitaria Giuliano-Isontina, Trieste, Italy
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Abstract

Background: Primary cardiac sarcomas are the most commonly encountered primary cardiac malignancies with a marked tendency of recurrence. In the complex and heterogeneous field of cardiac masses a proper differential diagnosis based on multimodality imaging approach is extremely useful in order to plan the most appropriate treatment. Case Summary: We report the case of a 69-year-old woman presenting with worsening dyspnoea and syncope due to cardiac pleomorphic sarcoma, emphasizing the critical aspects of differential diagnosis and management. Discussion: A stepwise diagnostic strategy through multimodality imaging evaluation is the cornerstone for an appropriate prompt intervention, even if histopathological characterization remains the diagnostic gold standard for histotype definition, to guide the treatment and define the prognosis.