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. 2024 Jan 13;24:49. doi: 10.1186/s12872-023-03689-8

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 2 — Macroscopic features of the suspected ULMS metastasis to the epicardium, surgical technique and histopathology of the tumour. a) Intraoperative finding - the tumour (interrupted line) is on the apex of the heart and completely free from the parietal layer of the pericardium (arrows); b) tumour mass after resection; c) defect of the left ventricle after resection of the tumour with polypropylene sutures placed around the defect; d) defect of the ventricle reconstructed with a polyester patch; e) histopathology - tumour cells (asterisk) infiltrate myocardium but not endocardium (HE staining, x2); f) histopathology - tumour cells are spindle-shape, pleomorphic with high mitotic activity (HE staining, x40)