Atrial invasion and showering phenomenon in primary lung cancer: A case report
Advanced lung cancer can have numerous extra-pulmonary complications. Due to the proximity to the heart, cardiac invasion and the subsequent seeding of the tumor into the vascular system present numerous challenges in physician team care coordination. Here we have a 55-year-old male who presented wi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | Respiratory Medicine Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007120300976 |
| _version_ | 1819171183172517888 |
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| author | Justin Chin, DO Matthew Migliozzi, DO George Nguyen, MD Bina Kviatkovsky, DO Christine Lomiguen, MD |
| author_facet | Justin Chin, DO Matthew Migliozzi, DO George Nguyen, MD Bina Kviatkovsky, DO Christine Lomiguen, MD |
| author_sort | Justin Chin, DO |
| collection | DOAJ |
| description | Advanced lung cancer can have numerous extra-pulmonary complications. Due to the proximity to the heart, cardiac invasion and the subsequent seeding of the tumor into the vascular system present numerous challenges in physician team care coordination. Here we have a 55-year-old male who presented with stroke symptoms in the setting of undiagnosed advanced lung cancer complicated by direct tumor invasion into the left atria and mixed embolic showering phenomenon and thrombotic hypercoagulability. Review of both the embolic showering phenomenon and hypercoagulability will be discussed as both can result in embolic occlusion or metastatic seeding at distant sites. Fewer than ten cases of spontaneous tumor embolization resulting from lung cancer invasion of the pulmonary vein have been reported. Poor prognosis of advanced lung cancer requires delicate, yet pragmatic conversations between care teams and the patient. |
| first_indexed | 2024-12-22T19:47:14Z |
| format | Article |
| id | doaj.art-80e97b02af48432e8f1484861493cd8d |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-12-22T19:47:14Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-80e97b02af48432e8f1484861493cd8d2022-12-21T18:14:39ZengElsevierRespiratory Medicine Case Reports2213-00712020-01-0130101064Atrial invasion and showering phenomenon in primary lung cancer: A case reportJustin Chin, DO0Matthew Migliozzi, DO1George Nguyen, MD2Bina Kviatkovsky, DO3Christine Lomiguen, MD4Department of Family Medicine, Lifelong Medical Care, Richmond, CA, USA; Corresponding author. Lifelong Medical Care, 150 Harbour Way, Richmond, CA 94801Department of Family Medicine, University of Massachusetts Medical School, Fitchburg, MA, USADepartment of Internal Medicine, Banner University Medical Center - Phoenix, Phoenix, AZ, USADepartment of Internal Medicine, Staten Island University Hospital, New York, NY, USADepartment of Pathology, Lake Erie College of Osteopathic Medicine, Erie, PA, USAAdvanced lung cancer can have numerous extra-pulmonary complications. Due to the proximity to the heart, cardiac invasion and the subsequent seeding of the tumor into the vascular system present numerous challenges in physician team care coordination. Here we have a 55-year-old male who presented with stroke symptoms in the setting of undiagnosed advanced lung cancer complicated by direct tumor invasion into the left atria and mixed embolic showering phenomenon and thrombotic hypercoagulability. Review of both the embolic showering phenomenon and hypercoagulability will be discussed as both can result in embolic occlusion or metastatic seeding at distant sites. Fewer than ten cases of spontaneous tumor embolization resulting from lung cancer invasion of the pulmonary vein have been reported. Poor prognosis of advanced lung cancer requires delicate, yet pragmatic conversations between care teams and the patient.http://www.sciencedirect.com/science/article/pii/S2213007120300976Lung cancerHypercoagulabilityShoweringEmbolusThrombusStroke |
| spellingShingle | Justin Chin, DO Matthew Migliozzi, DO George Nguyen, MD Bina Kviatkovsky, DO Christine Lomiguen, MD Atrial invasion and showering phenomenon in primary lung cancer: A case report Respiratory Medicine Case Reports Lung cancer Hypercoagulability Showering Embolus Thrombus Stroke |
| title | Atrial invasion and showering phenomenon in primary lung cancer: A case report |
| title_full | Atrial invasion and showering phenomenon in primary lung cancer: A case report |
| title_fullStr | Atrial invasion and showering phenomenon in primary lung cancer: A case report |
| title_full_unstemmed | Atrial invasion and showering phenomenon in primary lung cancer: A case report |
| title_short | Atrial invasion and showering phenomenon in primary lung cancer: A case report |
| title_sort | atrial invasion and showering phenomenon in primary lung cancer a case report |
| topic | Lung cancer Hypercoagulability Showering Embolus Thrombus Stroke |
| url | http://www.sciencedirect.com/science/article/pii/S2213007120300976 |
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