Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case Report

Merkel cell carcinoma (MCC) is a rare, rapidly proliferating skin cancer that commonly metastasizes to regional lymph nodes. We present the case of a 73-year-old woman with a history of MCC and non-Hodgkin B-cell lymphoma who presented with second-degree heart block (Mobitz type II) caused by an int...

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Main Authors: Nazanin Yeganeh Kazemi, BS, Christopher Jain, MD, Melanie C. Bois, MD, Atta Behfar, MD, PhD, Kenneth Olivier, MD, Svetomir N. Markovic, MD, PhD
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Mayo Clinic Proceedings: Innovations, Quality & Outcomes
Online Access:http://www.sciencedirect.com/science/article/pii/S2542454819301493
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author Nazanin Yeganeh Kazemi, BS
Christopher Jain, MD
Melanie C. Bois, MD
Atta Behfar, MD, PhD
Kenneth Olivier, MD
Svetomir N. Markovic, MD, PhD
author_facet Nazanin Yeganeh Kazemi, BS
Christopher Jain, MD
Melanie C. Bois, MD
Atta Behfar, MD, PhD
Kenneth Olivier, MD
Svetomir N. Markovic, MD, PhD
author_sort Nazanin Yeganeh Kazemi, BS
collection DOAJ
description Merkel cell carcinoma (MCC) is a rare, rapidly proliferating skin cancer that commonly metastasizes to regional lymph nodes. We present the case of a 73-year-old woman with a history of MCC and non-Hodgkin B-cell lymphoma who presented with second-degree heart block (Mobitz type II) caused by an interatrial mass. Temporary pacing was required before biopsy, which revealed metastatic MCC. Treatment included permanent pacing, anti–programmed cell death ligand 1 immunotherapy, and radiation to the heart resulting in notable decrease in tumor size and normalized cardiac rhythm.
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spelling doaj.art-735a8d83092744ab8097f935fc3017fe2022-12-21T17:49:47ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482019-12-0134510516Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case ReportNazanin Yeganeh Kazemi, BS0Christopher Jain, MD1Melanie C. Bois, MD2Atta Behfar, MD, PhD3Kenneth Olivier, MD4Svetomir N. Markovic, MD, PhD5Medical Scientist Training Program, Mayo Clinic, Rochester, MNDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MNDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MNDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MNDepartment of Radiation Oncology, Mayo Clinic, Rochester, MNDepartment of Oncology, Mayo Clinic, Rochester, MN; Correspondence: Address to Svetomir N. Markovic, MD, PhD, Department of Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905Merkel cell carcinoma (MCC) is a rare, rapidly proliferating skin cancer that commonly metastasizes to regional lymph nodes. We present the case of a 73-year-old woman with a history of MCC and non-Hodgkin B-cell lymphoma who presented with second-degree heart block (Mobitz type II) caused by an interatrial mass. Temporary pacing was required before biopsy, which revealed metastatic MCC. Treatment included permanent pacing, anti–programmed cell death ligand 1 immunotherapy, and radiation to the heart resulting in notable decrease in tumor size and normalized cardiac rhythm.http://www.sciencedirect.com/science/article/pii/S2542454819301493
spellingShingle Nazanin Yeganeh Kazemi, BS
Christopher Jain, MD
Melanie C. Bois, MD
Atta Behfar, MD, PhD
Kenneth Olivier, MD
Svetomir N. Markovic, MD, PhD
Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case Report
Mayo Clinic Proceedings: Innovations, Quality & Outcomes
title Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case Report
title_full Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case Report
title_fullStr Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case Report
title_full_unstemmed Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case Report
title_short Heart Block Caused by Cardiac Metastasis From Merkel Cell Carcinoma: A Case Report
title_sort heart block caused by cardiac metastasis from merkel cell carcinoma a case report
url http://www.sciencedirect.com/science/article/pii/S2542454819301493
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