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Carcinoma of Unknown Primary Presenting as Large Right Atrial and Ventricular Mass Secondary to Disseminated Tumor Thrombosis

We report a 65-year-old male patient who presented with right heart failure and a large mobile right atrial and ventricular mass on echocardiography. His computed tomography demonstrated bilateral supraclavicular/mediastinal lymphadenopathy, right atrial and ventricular mass with right pulmonary art...

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Detalles Bibliográficos
Autores principales: Panduranga, Prashanth, Kazmi, Zahid, Al-Rawahi, Najib, Habibulla, Zulfikar, Al-Lawati, Nabil, Al-Kindi, Faiza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4124668/
https://www.ncbi.nlm.nih.gov/pubmed/25104985
http://dx.doi.org/10.4103/1995-705X.137506
Descripción
Sumario:We report a 65-year-old male patient who presented with right heart failure and a large mobile right atrial and ventricular mass on echocardiography. His computed tomography demonstrated bilateral supraclavicular/mediastinal lymphadenopathy, right atrial and ventricular mass with right pulmonary artery segmental embolism, and multiple liver hypodense lesions. His tumor markers were negative. However, fine-needle aspiration cytology of supraclavicular lymph node revealed metastatic carcinoma suggestive of squamous cell carcinoma. He was suspected to have carcinoma of unknown primary origin. This case illustrates a rare presentation of carcinoma of unknown primary origin with disseminated tumor thrombosis primarily manifesting in heart and other sites.