Echocardiographic Diagnosis of a Right Ventricular Metastatic Tumor

Steffens, Thomas G.; Mayer, Henry S.; Das, Sunil K.

doi:10.1001/archinte.1980.00330130124031

Cited by 24 publications

(7 citation statements)

References 13 publications

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“…In a previous study 6 , as well as in the present study, the echocardiogram proved to be an excellent diagnostic test for these patients.…”

Section: Squamous Cells Cellular Atypiasupporting

confidence: 81%

“…Tumoral involvement frequently mimics other conditions, a fact that enables many authors to state that the diagnosis of neoplastic cardiomiopathy should be considered challenging in the daily clinical practice 3 . In the present report, the patient presented with non-specific symptoms such as fatigue and dyspnea on mild exertion, which was little suggestive of the presence of an extensive metastasis in RV, a diagnosis that was confirmed only after an echocardiogram was performed and which proved to be a very useful test to detect mobile tumors in heart chambers 6 . In cases of carcinoma of the uterine cervix, the diagnostic confirmation of cardiac metastasis can also be made using Ga-67 or FDG scintigraphy.…”

Section: Squamous Cells Cellular Atypiamentioning

confidence: 54%

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Tumor metastático espinocelular de cérvix uterino para coração: diagnóstico ante mortem

Ferraz

Martins

Souza

et al. 2006

Arq. Bras. Cardiol.

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Sixty-three-year-old woman with a past medical history of uterine cancer and complaint of fatigue and dyspnea on mild exertion. Physical examination revealed hypertension and rales at lung bases. A transthoracic echocardiogram showed a mass with reduced mobility in the right ventricle. The patient was taken to surgery during which a mass involving the anterior wall of the pulmonary artery, tricuspid valve, right atrium, and posterior wall of the right ventricle was found. The pulmonary artery and the right ventricle were reconstructed with a bovine pericardium patch and the tricuspid valve was replaced by a number-31 biological prosthesis. The pathological examination revealed metastasis of squamous cells with well-differentiated infiltrative areas. The patient was discharged one month after surgery. Four months later, however, she was readmitted to hospital in terminal stage, confirming the guarded prognosis of the disease at this stage. Cardiac metastases from squamous cell carcinoma of the uterine cervix are uncommon findings; however their diagnosis and successful surgical treatment are even rarer.Among the several different types of neoplasia that may affect the heart, secondary tumors are 40 times more common than primary tumors 1 and the most varied types of tumors may attack the heart The main tumors to metastasize to the heart are, in descending order, melanoma, leukemias, bronchogenic tumors, and breast cancer. Metastasis from squamous cell carcinoma of the uterine cervix is one of the less frequent metastases, occurring in 5.9% of the cases 2 .The metastatic squamous cell carcinoma of the uterine cervix is one of the less common secondary tumors and it is difficult to be diagnosed; most of them are only found in autopsies. When symptomatic, it may cause arrhythmias, and may lead to complete heart block, pericardial tamponade, congestion due to myocardial replacement by tumor cells, intracardiac obstructions, myocardial infarction, peripheral embolism, and others. True myocardial infiltration or a simple intracardiac extension of the vena cava or of the pulmonary vein may occur 3 .In the present case, we report the in vivo diagnosis and the importance of considering cardiac metastasis in carcinoma of the uterine cervix, since this is a common disease among women and the symptoms of metastases are unspecific. Case ReportFemale, 63 years of age, born in the State of Santa Catarina, Brazil, was referred to the Department of Cardiovascular Surgery of a University Hospital in the city of Curitiba with a previous diagnosis of cardiac tumor and past medical history of uterine cervix cancer diagnosed at the age of 30 after three miscarriages, and treated with surgical resection (conization), 35 sessions of radiation therapy, and 3 sessions of chemotherapy.Two months prior to the hospitalization for evaluation of the cardiac tumor mass, the patient underwent angioplasty, and the obstruction of the anterior descending coronary artery was reduced by 80%. At admission she complained of fatigue and dyspnea on mild ...

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“…In a previous study 6 , as well as in the present study, the echocardiogram proved to be an excellent diagnostic test for these patients.…”

Section: Squamous Cells Cellular Atypiasupporting

confidence: 81%

Section: Squamous Cells Cellular Atypiamentioning

confidence: 54%

Tumor metastático espinocelular de cérvix uterino para coração: diagnóstico ante mortem

Ferraz

Martins

Souza

et al. 2006

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

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“…The left atrium may be invaded from the extension of tumour thrombosis of the pulmonary veins. 2D-TTE and 2D-TEE with CT or MRI are valuable in delineating the presence or absence of intracardiac tumour masses [6,50,69]. Nuclear medicine techniques previously employed to detect secondary heart deposits include blood pool imaging and gallium or thallium scintigraphy [70].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic cardiac metastases of breast cancer 27 years after mastectomy: a case report with literature review - pathophysiology of molecular mechanisms and metastatic pathways, clinical aspects, diagnostic procedures and treatment modalities

et al. 2013

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Metastases to the heart and pericardium are rare but more common than primary cardiac tumours and are generally associated with a rather poor prognosis. Most cases are clinically silent and are undiagnosed in vivo until the autopsy. We present a female patient with a 27-year-old history of an operated primary breast cancer who was presented with dyspnoea, paroxysmal nocturnal dyspnoea and orthopnoea. The clinical signs and symptoms aroused suspicion of congestive heart failure. However, the cardiac metastases were detected during a routine cardiologic evaluation and confirmed with computed tomography imaging. Additionally, this paper outlines the pathophysiology of molecular and clinical mechanisms involved in the metastatic spreading, clinical presentation, diagnostic procedures and treatment of heart metastases. The present case demonstrates that a complete surgical resection and systemic chemotherapy may result in a favourable outcome for many years. However, a lifelong medical follow-up, with the purpose of a detection of metastases, is highly recommended. We strongly call the attention of clinicians to the fact that during the follow-up of all cancer patients, such heart failure may be a harbinger of the secondary heart involvement.

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“…Right ventricular outflow tract obstruction secondary to myocardial metastasis from hepatocellular carcinoma (HCC) represents a rare event and portends a poor prognosis [ 1 - 4 ]. The clinical picture is chiefly dominated by severe cardiorespiratory compromise that may lead to cardiac arrest.…”

Section: Introductionmentioning

confidence: 99%

Right ventricular exclusion for hepatocellular carcinoma metastatic to the heart

Liu

Lui

et al. 2010

J Cardiothorac Surg

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We used for the first time a right ventricular exclusion procedure for the treatment of hepatocellular carcinoma metastatic to the right ventricle. Our case report shows that this surgical option can be effective as rescue therapy for right ventricular outflow tract obstruction secondary to myocardial metastasis in critically ill patients. Most notably, this technique can prevent inadvertent dislodgement of tumor cells.

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Echocardiographic Diagnosis of a Right Ventricular Metastatic Tumor

Cited by 24 publications

References 13 publications

Tumor metastático espinocelular de cérvix uterino para coração: diagnóstico ante mortem

Tumor metastático espinocelular de cérvix uterino para coração: diagnóstico ante mortem

Symptomatic cardiac metastases of breast cancer 27 years after mastectomy: a case report with literature review - pathophysiology of molecular mechanisms and metastatic pathways, clinical aspects, diagnostic procedures and treatment modalities

Right ventricular exclusion for hepatocellular carcinoma metastatic to the heart

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