Radiation-Induced Sarcoma following Prolonged Coronary Stent Placement

Figure 1

Gross imaging of the patient’s mass: gross images of the area of ulceration which developed following cardiac catherization photographed in 2014 (a) show no signs of growth. In 2017, a mass (b) demonstrating outward growth and the area of the radiation injury following a year of close observation with a superimposed image of the same (c) mass was obviously exophytic and purulent measuring 5 × 3 cm at the time. The mass was photographed again prior to surgery two months later (d) in addition to MRI imaging shown with sagittal (e) and axial STIR (f) imaging demonstrating T1 signaling slightly intense to muscle and heterogeneous T2 signaling with avid contrast enhancement at the level of the posterior T10 rib. Both images fail to show evidence of muscular or bony invasion.

(a)

(b)

(c)

(d)

(e)

(f)