Unusual mass in the heart: A case report
Carcinoma lung is a concerning cause of mortality worldwide. Approximately half of the cases are metastatic at diagnosis and uncommon metastatic sites confer a worse prognosis. Intracardiac metastasis from lung cancer is rare and limited to a few case reports.The authors describe the case of a 54-ye...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323002443 |
| _version_ | 1797803967600656384 |
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| author | Prachi Sharma, MBBS, MD, DM Bharathesh Ug, MBBS, MD Vikash Jaiswal, MD Yusuf Kumble, MBBS, MD, DM |
| author_facet | Prachi Sharma, MBBS, MD, DM Bharathesh Ug, MBBS, MD Vikash Jaiswal, MD Yusuf Kumble, MBBS, MD, DM |
| author_sort | Prachi Sharma, MBBS, MD, DM |
| collection | DOAJ |
| description | Carcinoma lung is a concerning cause of mortality worldwide. Approximately half of the cases are metastatic at diagnosis and uncommon metastatic sites confer a worse prognosis. Intracardiac metastasis from lung cancer is rare and limited to a few case reports.The authors describe the case of a 54-year female with left ventricular cavity mass as one of the rarest presentations of lung malignancy. She presented to the cardiology outpatient department with a history of progressive dyspnea for the last two months. Her 2D echocardiogram showed a large heterogeneous mass in the left ventricle cavity along with gross pericardial and pleural effusion. CT guided lung biopsy revealed adenocarcinoma of the lung. The patient was started on tablet geftinib along with other supportive therapy, while awaiting reports of next generation sequencing (NGS) for mutation analysis and immunohistochemistry. However, the patient's condition rapidly worsened and she succumbed to death within one week of hospital admission.Cardiac metastasis is one of the rarest sites for lung cancer spread. Intracavitary metastasis as in our case is an extremely rare presentation. Treatment is not yet well defined for such cases and it carries a poor prognosis despite available therapies. This case required multidisciplinary approach with involvement of cardiologist, oncologist, pulmonologist and intensivists. Further research is required to help define better treatment options. |
| first_indexed | 2024-03-13T05:30:03Z |
| format | Article |
| id | doaj.art-ff6446ee4d724ebcb4812b738328ee4e |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-13T05:30:03Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-ff6446ee4d724ebcb4812b738328ee4e2023-06-15T04:55:18ZengElsevierRadiology Case Reports1930-04332023-08-0118825862589Unusual mass in the heart: A case reportPrachi Sharma, MBBS, MD, DM0Bharathesh Ug, MBBS, MD1Vikash Jaiswal, MD2Yusuf Kumble, MBBS, MD, DM3LPS Institue of Cardiology, Kanpur, Uttar Pradesh, IndiaIndiana Hospital and Heart Institute, Mangalore, Karnataka, IndiaDepartment of Cardiovascular Research, Larkin Community Hospital, 7031 SW 62nd Ave, South Miami, FL, USA; Corresponding author.Indiana Hospital and Heart Institute, Mangalore, Karnataka, IndiaCarcinoma lung is a concerning cause of mortality worldwide. Approximately half of the cases are metastatic at diagnosis and uncommon metastatic sites confer a worse prognosis. Intracardiac metastasis from lung cancer is rare and limited to a few case reports.The authors describe the case of a 54-year female with left ventricular cavity mass as one of the rarest presentations of lung malignancy. She presented to the cardiology outpatient department with a history of progressive dyspnea for the last two months. Her 2D echocardiogram showed a large heterogeneous mass in the left ventricle cavity along with gross pericardial and pleural effusion. CT guided lung biopsy revealed adenocarcinoma of the lung. The patient was started on tablet geftinib along with other supportive therapy, while awaiting reports of next generation sequencing (NGS) for mutation analysis and immunohistochemistry. However, the patient's condition rapidly worsened and she succumbed to death within one week of hospital admission.Cardiac metastasis is one of the rarest sites for lung cancer spread. Intracavitary metastasis as in our case is an extremely rare presentation. Treatment is not yet well defined for such cases and it carries a poor prognosis despite available therapies. This case required multidisciplinary approach with involvement of cardiologist, oncologist, pulmonologist and intensivists. Further research is required to help define better treatment options.http://www.sciencedirect.com/science/article/pii/S1930043323002443Cardiac metastasisIntracardiac massCase reportUnusual metastasis |
| spellingShingle | Prachi Sharma, MBBS, MD, DM Bharathesh Ug, MBBS, MD Vikash Jaiswal, MD Yusuf Kumble, MBBS, MD, DM Unusual mass in the heart: A case report Radiology Case Reports Cardiac metastasis Intracardiac mass Case report Unusual metastasis |
| title | Unusual mass in the heart: A case report |
| title_full | Unusual mass in the heart: A case report |
| title_fullStr | Unusual mass in the heart: A case report |
| title_full_unstemmed | Unusual mass in the heart: A case report |
| title_short | Unusual mass in the heart: A case report |
| title_sort | unusual mass in the heart a case report |
| topic | Cardiac metastasis Intracardiac mass Case report Unusual metastasis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323002443 |
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