Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report
Metastatic lesions of the heart are rare but have the potential to cause significant morbidity. We describe the case of a patient with renal cell carcinoma who presented with shortness of breath and palpitations and was found to have a metastatic myocardial lesion causing arrythmia. He received ster...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-01-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/28/1/41 |
| _version_ | 1797520759810162688 |
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| author | Aneesh Dhar Elysia Donovan Darryl Leong Sebastien J. Hotte Anand Swaminath |
| author_facet | Aneesh Dhar Elysia Donovan Darryl Leong Sebastien J. Hotte Anand Swaminath |
| author_sort | Aneesh Dhar |
| collection | DOAJ |
| description | Metastatic lesions of the heart are rare but have the potential to cause significant morbidity. We describe the case of a patient with renal cell carcinoma who presented with shortness of breath and palpitations and was found to have a metastatic myocardial lesion causing arrythmia. He received stereotactic body radiation therapy (SBRT) to alleviate symptoms and provide local control. SBRT planning was executed using a four-dimensional computed tomography (4DCT) scan to account for respiratory and cardiac motion. Images from a planning magnetic resonance imaging (MRI) scan and a gated diagnostic MRI scan of the heart were fused with the 4DCT to assist with delineating the tumour. A dose of 30 Gy in five fractions was delivered without incident. The patient’s cardiac MRI at two months post-treatment showed stability of his cardiac lesion. He subsequently died of distant disease progression, without any recurrence of his cardiac symptoms. SBRT may be considered for patients who present with a symptomatic metastatic cardiac lesion. |
| first_indexed | 2024-03-10T08:01:10Z |
| format | Article |
| id | doaj.art-91898bd9cb3c459faf440a539efefd51 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-10T08:01:10Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-91898bd9cb3c459faf440a539efefd512023-11-22T11:29:17ZengMDPI AGCurrent Oncology1198-00521718-77292021-01-0128139039510.3390/curroncol28010041Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case ReportAneesh Dhar0Elysia Donovan1Darryl Leong2Sebastien J. Hotte3Anand Swaminath4Juravinski Cancer Centre, Hamilton, ON L8V 5C2, CanadaSunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, CanadaThe Population Health Research Institute, McMaster University& Hamilton Health Sciences, Hamilton, ON L8L 2X2, CanadaJuravinski Cancer Centre, Hamilton, ON L8V 5C2, CanadaDepartment of Oncology, McMaster University, Hamilton, ON L8S 4L8, CanadaMetastatic lesions of the heart are rare but have the potential to cause significant morbidity. We describe the case of a patient with renal cell carcinoma who presented with shortness of breath and palpitations and was found to have a metastatic myocardial lesion causing arrythmia. He received stereotactic body radiation therapy (SBRT) to alleviate symptoms and provide local control. SBRT planning was executed using a four-dimensional computed tomography (4DCT) scan to account for respiratory and cardiac motion. Images from a planning magnetic resonance imaging (MRI) scan and a gated diagnostic MRI scan of the heart were fused with the 4DCT to assist with delineating the tumour. A dose of 30 Gy in five fractions was delivered without incident. The patient’s cardiac MRI at two months post-treatment showed stability of his cardiac lesion. He subsequently died of distant disease progression, without any recurrence of his cardiac symptoms. SBRT may be considered for patients who present with a symptomatic metastatic cardiac lesion.https://www.mdpi.com/1718-7729/28/1/41stereotactic body radiation therapy (SBRT)myocardial metastasiscardiac magnetic resonance imaging |
| spellingShingle | Aneesh Dhar Elysia Donovan Darryl Leong Sebastien J. Hotte Anand Swaminath Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report Current Oncology stereotactic body radiation therapy (SBRT) myocardial metastasis cardiac magnetic resonance imaging |
| title | Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report |
| title_full | Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report |
| title_fullStr | Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report |
| title_full_unstemmed | Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report |
| title_short | Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report |
| title_sort | stereotactic body radiation therapy sbrt for a patient with a myocardial metastasis a case report |
| topic | stereotactic body radiation therapy (SBRT) myocardial metastasis cardiac magnetic resonance imaging |
| url | https://www.mdpi.com/1718-7729/28/1/41 |
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