New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis
Purpose: Cardiac metastasis is a rare fatal event. An intracavitary right tumor mainly in the ventricle is difficult to manage. Literature reports suggest that cardiac surgery in oligometastatic patients could offer median survival of 1 year. We investigated salvage treatment comprising transcoronar...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Clinical and Translational Radiation Oncology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405630821000896 |
| _version_ | 1798026686665588736 |
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| author | Sylvie Delanian Sameh Awad Aimery de Gramont |
| author_facet | Sylvie Delanian Sameh Awad Aimery de Gramont |
| author_sort | Sylvie Delanian |
| collection | DOAJ |
| description | Purpose: Cardiac metastasis is a rare fatal event. An intracavitary right tumor mainly in the ventricle is difficult to manage. Literature reports suggest that cardiac surgery in oligometastatic patients could offer median survival of 1 year. We investigated salvage treatment comprising transcoronary tumor embolization followed 15 days later by cardiac radiotherapy (40.5 Gy/15 fractions). Cases: We report two cases of severe right cardiac metastasis with a history of abdominal cancer managed by this salvage treatment following residual cardiac mass after previous cardiac surgery. Conclusion: Both symptomatic patients improved progressively and were locally controlled for at least 1 year without toxicity. |
| first_indexed | 2024-04-11T18:40:25Z |
| format | Article |
| id | doaj.art-2218a03a9a8f4d65a601cf10f1babf8a |
| institution | Directory Open Access Journal |
| issn | 2405-6308 |
| language | English |
| last_indexed | 2024-04-11T18:40:25Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical and Translational Radiation Oncology |
| spelling | doaj.art-2218a03a9a8f4d65a601cf10f1babf8a2022-12-22T04:09:02ZengElsevierClinical and Translational Radiation Oncology2405-63082022-01-013215New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasisSylvie Delanian0Sameh Awad1Aimery de Gramont2Oncologie-Radiothérapie, Groupe Hospitalier Universitaire, APHP site Saint-Louis-Université de Paris, France; Centre de Cancérologie de la Porte de Saint Cloud-Hôpital Américain de Paris, Boulogne, France; Corresponding author at: Oncologie-Radiothérapie, Radiopathologie, Hôpital Saint Louis, APHP, 1, Ave Claude Vellefaux, 75010 Paris, France.Radiologie Interventionnelle, Clinique Ambroise Paré, Neuilly-Sur-Seine, FranceOncologie Médicale, Hôpital Franco-Britanique, Levallois-Perret, FrancePurpose: Cardiac metastasis is a rare fatal event. An intracavitary right tumor mainly in the ventricle is difficult to manage. Literature reports suggest that cardiac surgery in oligometastatic patients could offer median survival of 1 year. We investigated salvage treatment comprising transcoronary tumor embolization followed 15 days later by cardiac radiotherapy (40.5 Gy/15 fractions). Cases: We report two cases of severe right cardiac metastasis with a history of abdominal cancer managed by this salvage treatment following residual cardiac mass after previous cardiac surgery. Conclusion: Both symptomatic patients improved progressively and were locally controlled for at least 1 year without toxicity.http://www.sciencedirect.com/science/article/pii/S2405630821000896Cardiac metastasisRadiotherapyTranscatheter arterial embolizationCardiac imaging |
| spellingShingle | Sylvie Delanian Sameh Awad Aimery de Gramont New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis Clinical and Translational Radiation Oncology Cardiac metastasis Radiotherapy Transcatheter arterial embolization Cardiac imaging |
| title | New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis |
| title_full | New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis |
| title_fullStr | New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis |
| title_full_unstemmed | New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis |
| title_short | New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis |
| title_sort | new curative approach using embolization followed by moderate dose radiotherapy after surgical failure for large right heart metastasis |
| topic | Cardiac metastasis Radiotherapy Transcatheter arterial embolization Cardiac imaging |
| url | http://www.sciencedirect.com/science/article/pii/S2405630821000896 |
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