Rare Case of Asymptomatic Cardiac Metastasis in a Patient of Laryngeal Squamous Cell Carcinoma

Abstract

Background: Cardiac tumors are relatively uncommon and mostly secondary to primary tumors in the lung, esophagus, breast, lymphoma and melanoma. Most of these tumors are detected incidentally as they are usually clinically silent. We present a rare case of laryngeal cancer with asymptomatic myocardial metastases.Case Report: A 71-year-old man known case of metastatic laryngeal squamous cell carcinoma on tracheostomy tube due to airway compromise and on chemotherapy, was admitted to the oncology department due to aspiration pneumonia. The patient underwent routine chest X ray and an echocardiogram with contrast that revealed a small mass attached to the apical part of left ventricle (LV) lateral wall with normal contractility of adjacent myocardium then Cardiac MRI was done and confirmed the presence of cardiac metastases. This is one of the few reported cases of laryngeal carcinoma with LV metastases. Conclusion: Cardiac metastases should be considered in priority of differential diagnosis of any cardiac mass in a patient with underlying malignancy.