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Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus
The presence of tumor thrombus in the right atrium is frequently the result of direct intraluminal extension of infra-diaphragmatic malignancy into the inferior vena cava (IVC) or supradiaphragmatic carcinoma into the superior vena cava (SVC). Right atrial tumor thrombus with extension into both SVC...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457968/ https://www.ncbi.nlm.nih.gov/pubmed/26060549 http://dx.doi.org/10.5812/iranjradiol.11197 |
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author | Johari, Bushra Abdul Aziz, Yang Faridah Krishnasamy, Sivakumar Looi, Lai Meng Hashim, Shahrul Amry Raja Mokhtar, Raja Amin |
author_facet | Johari, Bushra Abdul Aziz, Yang Faridah Krishnasamy, Sivakumar Looi, Lai Meng Hashim, Shahrul Amry Raja Mokhtar, Raja Amin |
author_sort | Johari, Bushra |
collection | PubMed |
description | The presence of tumor thrombus in the right atrium is frequently the result of direct intraluminal extension of infra-diaphragmatic malignancy into the inferior vena cava (IVC) or supradiaphragmatic carcinoma into the superior vena cava (SVC). Right atrial tumor thrombus with extension into both SVC and IVC has not been reported in the literature. We present a patient who presented with symptoms of right atrial and SVC obstruction. Imaging revealed presence of a thrombus in the right atrium, extending to the SVC and IVC, with the additional findings of a left adrenal mass and multiple liver lesions. The histopathological examination of the right atrial mass revealed metastatic adenocarcinoma cells. The patient was given a presumptive diagnosis of metastatic adenocarcinoma, most likely adrenal in origin, with multiple hepatic lesions suspicious for metastasis. The clinical outcome of the patient was not favorable; the patient succumbed before the adrenal mass could be confirmed to be the primary tumor. This case highlights that in patients manifesting with extensive cavoatrial thrombus as, the existence of primary carcinoma should be considered especially in the adrenal cortex or in the lung. |
format | Online Article Text |
id | pubmed-4457968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-44579682015-06-09 Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus Johari, Bushra Abdul Aziz, Yang Faridah Krishnasamy, Sivakumar Looi, Lai Meng Hashim, Shahrul Amry Raja Mokhtar, Raja Amin Iran J Radiol Cardiac Imaging The presence of tumor thrombus in the right atrium is frequently the result of direct intraluminal extension of infra-diaphragmatic malignancy into the inferior vena cava (IVC) or supradiaphragmatic carcinoma into the superior vena cava (SVC). Right atrial tumor thrombus with extension into both SVC and IVC has not been reported in the literature. We present a patient who presented with symptoms of right atrial and SVC obstruction. Imaging revealed presence of a thrombus in the right atrium, extending to the SVC and IVC, with the additional findings of a left adrenal mass and multiple liver lesions. The histopathological examination of the right atrial mass revealed metastatic adenocarcinoma cells. The patient was given a presumptive diagnosis of metastatic adenocarcinoma, most likely adrenal in origin, with multiple hepatic lesions suspicious for metastasis. The clinical outcome of the patient was not favorable; the patient succumbed before the adrenal mass could be confirmed to be the primary tumor. This case highlights that in patients manifesting with extensive cavoatrial thrombus as, the existence of primary carcinoma should be considered especially in the adrenal cortex or in the lung. Kowsar 2015-04-20 /pmc/articles/PMC4457968/ /pubmed/26060549 http://dx.doi.org/10.5812/iranjradiol.11197 Text en Copyright © 2015, Tehran University of Medical Sciences and Iranian Society of Radiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. |
spellingShingle | Cardiac Imaging Johari, Bushra Abdul Aziz, Yang Faridah Krishnasamy, Sivakumar Looi, Lai Meng Hashim, Shahrul Amry Raja Mokhtar, Raja Amin Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus |
title | Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus |
title_full | Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus |
title_fullStr | Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus |
title_full_unstemmed | Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus |
title_short | Metastatic Adenocarcinoma Presenting as Extensive Cavoatrial Tumor Thrombus |
title_sort | metastatic adenocarcinoma presenting as extensive cavoatrial tumor thrombus |
topic | Cardiac Imaging |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457968/ https://www.ncbi.nlm.nih.gov/pubmed/26060549 http://dx.doi.org/10.5812/iranjradiol.11197 |
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