COMPLETE RESECTION OF A PRIMARY CARDIAC RHABDOMYOSARCOMA.

A case of primary cardiac rhabdomyosarcoma in a 23-year-old white man was managed by complete excision and combination chemotherapy. The pathologic features of the tumor are described. Based on a review of the English literature, the natural history of this tumor is discussed and a plan of therapy is proposed, which consists of (1) resection of the tumor if feasible, (2) chemotherapy with Actinomycin D, vincristine sulfate, and cyclophosphamide, and (3) cardiac radiation for residual unresected or locally recurrent tumor.