Left-Sided Intracardiac Tumors in a Case of Widespread Vulvar Cancer

Nair, Raunak; Thapa, Bicky; Maroo, Anjli

doi:10.1016/j.jaccas.2019.05.029

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Of these, four had a tumor located on the right side and two -on the left. [16][17][18][19][20][21]. The peculiarity of our case is that the patient had four myocardial tumors, with pericardial invasion, located in both ventricles, which led to ST segment elevation on the surface ECG, the patient being first interpreted as a patient with STEMI.…”

Section: Discussionmentioning

confidence: 97%

Biventricular cardiac metastasis from vulvar squamous cell carcinoma

Spînu

Sur

Parv³

et al. 2022

Arch Clin Cases

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Vulvar cancers make up just 3% to 5% of all gynecological cancers, and they are most typically found in postmenopausal women. Vulvar cancer distant metastases are uncommon and usually arise late. Only six cases of vulvar cancer metastasizing to the heart have been reported in the literature, and none of them included both the left and right ventricles. We describe the case of a 68-year-old patient diagnosed with vulvar cancer arising from lichen sclerosus, initially localized, treated with chemotherapy, surgery, and radiation therapy. Less than two months after the end of the treatment sequence, the patient returned to our clinic with bone pain. Imaging investigations have shown multiple disseminated metastases, but not in the heart at that moment. Chemotherapy was initiated, and after two cycles, the patient developed an arrhythmia (atrial fibrillation with rapid ventricular rate), which was later determined to be caused by cardiac metastases discovered by echocardiography and computed tomography. Vulvar cancer metastatic to the heart represents a rare clinical condition, requiring multidisciplinary care. The case's uniqueness is the biventricular metastasis, which resulted in STEMI despite angiographically normal epicardial coronary arteries.

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Section: Discussionmentioning

confidence: 97%

Biventricular cardiac metastasis from vulvar squamous cell carcinoma

Spînu

Sur

Parv³

et al. 2022

Arch Clin Cases

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“…To our knowledge there are few case reports in literature describing cardiac metastases from vulvar carcinoma to the heart [4][5][6]. Several case reports have been published with ST-segment changes in context of cardiac tumors [9,10], though the precise pathophysiological mechanism behind the ECG changes continues to be debated [2].…”

Section: Discussionmentioning

confidence: 99%

Unusual echocardiographic finding as cause of acute coronary syndrome with ST- segment elevation

Pârv¹,

Vajas²,

Anchidin³

et al. 2023

Med Ultrason

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Biventricular metastatic heart tumors from gynecological malignancies presented as an acute coronary syndrome with ST segment elevation are an unusual finding. We present a case of stage-4 vulvar carcinoma that metastasized in both the left and right ventricle. The particularity of the case is the echocardiographic aspect in the emergency room: multiple, large, hyperechogenic masses disseminated in the myocardium, with pericardial extension, in context of acute coronary syndrome with ST segment elevation.

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“…Angela Kornberger et al [10] 2017 1 69/M interventricular septum. HCC 7.2X4.5X5.6 Surgery 5.5/Death María Facenda-Lorenzo et al [11] 2017 1 83/M RV and RA HCC 6.0X3.0 Unknown Unknown Yoshihiko Onishi et al [12] 2023 1 71/F RA RCC Unknown Surgery 9/Alive Ryo Yamaguchi et al [13] 2021 2 62/F;49/M LA EC Unknown Surgery Unknown Yoshio Sudo et al [14] 2013 1 70/F Right ventricular outflow tract CC Unknown Surgery 2/Alive Raunak M Nair et al [15] 2019 1 68/F Left side of the heart VC 2.5X1.1 Unknown Unknown…”

Section: Prognosis (Mo)mentioning

confidence: 99%

Diagnosis and treatment of right ventricular metastasis from esophageal squamous cell carcinoma: An unusual case report and a literature review

Luo,

Luo

2023

Medicine

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Background: Right ventricular metastasis from esophageal squamous cell carcinoma is very rare and only seen in few case reports. Patients with cardiac metastasis have a poor prognosis with a median survival period of 4 weeks due to the lack of standardized and effective treatment guidelines. Therefore, we aimed to clarify the feature and treatment of cardiac metastasis through literature review and reporting of an unusual case. Case: We reported a case of a 67 years-old man diagnosed as right ventricular metastasis from esophageal squamous cell with the help of echocardiography and pathological biopsy. Moreover, the patient survival period reached an astonishing 6 months, which far exceeded 4 weeks reported in previous literature. Methods: We searched for relevant literature in the past decade on PUBMED and summarized the content of the literature to better clarify cardiac metastasis. Conclusion: Cardiac metastatic likely to occur in the elderly and in the right side of heart which related to hemodynamics. Surgical resection of metastatic tumors is the main treatment method, but patients usually die during the perioperative period due to its complexity and difficulty. Meanwhile, we have proposed some potentially effective treatment measures.

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Left-Sided Intracardiac Tumors in a Case of Widespread Vulvar Cancer

Abstract: Metastatic cardiac tumors associated with gynecological malignancies are rare. This report describe the case of stage-4 vulvar carcinoma…

Cited by 3 publications

References 15 publications

Biventricular cardiac metastasis from vulvar squamous cell carcinoma

Biventricular cardiac metastasis from vulvar squamous cell carcinoma

Unusual echocardiographic finding as cause of acute coronary syndrome with ST- segment elevation

Diagnosis and treatment of right ventricular metastasis from esophageal squamous cell carcinoma: An unusual case report and a literature review

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