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Intracardiac Metastasis From Non-Small Cell Lung Cancer

A 56-year-old female with history of stage IIA adenosquamous lung carcinoma treated 13 months prior to presentation with lobectomy, mediastinal lymph node dissection, and adjuvant chemotherapy, presented for several weeks of worsening dyspnea. Exam was non-focal aside from tachycardia. Computed tomo...

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Detalles Bibliográficos
Autores principales: Verma, Vivek, Talmon, Geoffrey A., Zhen, Weining K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508520/
https://www.ncbi.nlm.nih.gov/pubmed/26258073
http://dx.doi.org/10.3389/fonc.2015.00168
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author Verma, Vivek
Talmon, Geoffrey A.
Zhen, Weining K.
author_facet Verma, Vivek
Talmon, Geoffrey A.
Zhen, Weining K.
author_sort Verma, Vivek
collection PubMed
description A 56-year-old female with history of stage IIA adenosquamous lung carcinoma treated 13 months prior to presentation with lobectomy, mediastinal lymph node dissection, and adjuvant chemotherapy, presented for several weeks of worsening dyspnea. Exam was non-focal aside from tachycardia. Computed tomography of the chest revealed a large 4 cm × 5 cm mass in the bilateral ventricular myocardium. There was also evidence of metastatic disease elsewhere in the body, including a supraclavicular lymph node that was positive for metastatic adenosquamous lung carcinoma. She started whole heart radiotherapy and was to commence chemotherapy but passed away. This report discusses important aspects of diagnosis of this not uncommon condition that many oncologists may come across. We also discuss differential diagnosis of an isolated intracardiac mass as first-diagnosis presentations, and discuss the great importance of multidisciplinary cardio-oncologic management and clinical prioritization.
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spelling pubmed-45085202015-08-07 Intracardiac Metastasis From Non-Small Cell Lung Cancer Verma, Vivek Talmon, Geoffrey A. Zhen, Weining K. Front Oncol Oncology A 56-year-old female with history of stage IIA adenosquamous lung carcinoma treated 13 months prior to presentation with lobectomy, mediastinal lymph node dissection, and adjuvant chemotherapy, presented for several weeks of worsening dyspnea. Exam was non-focal aside from tachycardia. Computed tomography of the chest revealed a large 4 cm × 5 cm mass in the bilateral ventricular myocardium. There was also evidence of metastatic disease elsewhere in the body, including a supraclavicular lymph node that was positive for metastatic adenosquamous lung carcinoma. She started whole heart radiotherapy and was to commence chemotherapy but passed away. This report discusses important aspects of diagnosis of this not uncommon condition that many oncologists may come across. We also discuss differential diagnosis of an isolated intracardiac mass as first-diagnosis presentations, and discuss the great importance of multidisciplinary cardio-oncologic management and clinical prioritization. Frontiers Media S.A. 2015-07-21 /pmc/articles/PMC4508520/ /pubmed/26258073 http://dx.doi.org/10.3389/fonc.2015.00168 Text en Copyright © 2015 Verma, Talmon and Zhen. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Verma, Vivek
Talmon, Geoffrey A.
Zhen, Weining K.
Intracardiac Metastasis From Non-Small Cell Lung Cancer
title Intracardiac Metastasis From Non-Small Cell Lung Cancer
title_full Intracardiac Metastasis From Non-Small Cell Lung Cancer
title_fullStr Intracardiac Metastasis From Non-Small Cell Lung Cancer
title_full_unstemmed Intracardiac Metastasis From Non-Small Cell Lung Cancer
title_short Intracardiac Metastasis From Non-Small Cell Lung Cancer
title_sort intracardiac metastasis from non-small cell lung cancer
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508520/
https://www.ncbi.nlm.nih.gov/pubmed/26258073
http://dx.doi.org/10.3389/fonc.2015.00168
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AT talmongeoffreya intracardiacmetastasisfromnonsmallcelllungcancer
AT zhenweiningk intracardiacmetastasisfromnonsmallcelllungcancer