Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report
Abstract Background Intracardiac invasion of head and neck cancer is extremely rare. Here, we report a case of recurred oral cavity cancer presenting with complete atrioventricular (AV) block caused by cardiac metastasis. Case presentation A 70-year-old male presented with dizziness for 2 days. He h...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12872-018-0876-3 |
| _version_ | 1818981333807923200 |
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| author | Jae Yeong Cho Kye Hun Kim Hyukjin Park Hyun Ju Yoon Jong Chun Park |
| author_facet | Jae Yeong Cho Kye Hun Kim Hyukjin Park Hyun Ju Yoon Jong Chun Park |
| author_sort | Jae Yeong Cho |
| collection | DOAJ |
| description | Abstract Background Intracardiac invasion of head and neck cancer is extremely rare. Here, we report a case of recurred oral cavity cancer presenting with complete atrioventricular (AV) block caused by cardiac metastasis. Case presentation A 70-year-old male presented with dizziness for 2 days. He had a history of oral cavity cancer a year ago, and the tumor was treated by surgical excision after induction chemotherapy and concurrent chemoradiation therapy. Electrocardiography showed complete AV block with ventricular escape rate of 43 beats per minute. Cardiac imaging revealed about 4.0 × 2.0 cm-sized mass invading interventricular septum and AV nodes and protruding into the right ventricle. Magenetic resonance imaging of head and neck demonstrated recurred mass in oral cavity and maxillary sinus. Fluorodeoxyglucose-positron emission tomography showed hypermetabolic lesion in both oral cavity and the heart around interventricular septum and atrioventricular node indicating recurred oral cavity cancer with cardiac metastasis. Permament pacemaker of DDD type was implanted for the symptomatic complete AV block, and palliative chemotherapy was initiated. Conclusion The present case demonstrated that oral cavity cancer can metastasize to the heart, and complete AV block may be an initial manifestation of the recurrence of extracardiac cancer with intracardiac invasion. |
| first_indexed | 2024-12-20T17:29:40Z |
| format | Article |
| id | doaj.art-5954d8944cd84095b8562fd445b33625 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-20T17:29:40Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-5954d8944cd84095b8562fd445b336252022-12-21T19:31:25ZengBMCBMC Cardiovascular Disorders1471-22612018-07-011811410.1186/s12872-018-0876-3Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case reportJae Yeong Cho0Kye Hun Kim1Hyukjin Park2Hyun Ju Yoon3Jong Chun Park4Department of Cardiovascular Medicine, Chonnam National University HospitalDepartment of Cardiovascular Medicine, Chonnam National University HospitalDepartment of Cardiovascular Medicine, Chonnam National University HospitalDepartment of Cardiovascular Medicine, Chonnam National University HospitalDepartment of Cardiovascular Medicine, Chonnam National University HospitalAbstract Background Intracardiac invasion of head and neck cancer is extremely rare. Here, we report a case of recurred oral cavity cancer presenting with complete atrioventricular (AV) block caused by cardiac metastasis. Case presentation A 70-year-old male presented with dizziness for 2 days. He had a history of oral cavity cancer a year ago, and the tumor was treated by surgical excision after induction chemotherapy and concurrent chemoradiation therapy. Electrocardiography showed complete AV block with ventricular escape rate of 43 beats per minute. Cardiac imaging revealed about 4.0 × 2.0 cm-sized mass invading interventricular septum and AV nodes and protruding into the right ventricle. Magenetic resonance imaging of head and neck demonstrated recurred mass in oral cavity and maxillary sinus. Fluorodeoxyglucose-positron emission tomography showed hypermetabolic lesion in both oral cavity and the heart around interventricular septum and atrioventricular node indicating recurred oral cavity cancer with cardiac metastasis. Permament pacemaker of DDD type was implanted for the symptomatic complete AV block, and palliative chemotherapy was initiated. Conclusion The present case demonstrated that oral cavity cancer can metastasize to the heart, and complete AV block may be an initial manifestation of the recurrence of extracardiac cancer with intracardiac invasion.http://link.springer.com/article/10.1186/s12872-018-0876-3Oral cancerRecurrenceMetastasisAtrioventricular block |
| spellingShingle | Jae Yeong Cho Kye Hun Kim Hyukjin Park Hyun Ju Yoon Jong Chun Park Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report BMC Cardiovascular Disorders Oral cancer Recurrence Metastasis Atrioventricular block |
| title | Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report |
| title_full | Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report |
| title_fullStr | Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report |
| title_full_unstemmed | Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report |
| title_short | Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report |
| title_sort | complete atrioventricular block as an initial manifestation of recurred oral cavity cancer a case report |
| topic | Oral cancer Recurrence Metastasis Atrioventricular block |
| url | http://link.springer.com/article/10.1186/s12872-018-0876-3 |
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