Malignant primary fibrous histiocytoma of the right ventricle

We report a rare case of primary cardiac malignant fibroushistiocytoma. A 65-year-oldmanpresentedwithepigastric tenderness. Echocardiography detected large pericardial effusion and right ventricular mass 5 x 4 cm. Tumor biopsy revealed malignant fibroushistiocytoma. Thorough investigation did not detect any extra-cardiac primary source or metastasis. Tumor resection was offered to the patient but he refused. Despite refusal the patient was still alive one year after diagnosis