A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy

A patient with a history of lung adenocarcinoma was admitted because of palpitation. Transthoracic echocardiogram revealed a mass (74×42 mm) in the right ventricle. Computed tomography showed a tumor lesion in the right ventricular cavity but no other distant metastasis. Coronary angiography reveale...

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Autores principales: Oyakawa, Takuya, Muraoka, Nao, Iida, Kei, Kusuhara, Masatoshi, Naito, Tateaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028669/
https://www.ncbi.nlm.nih.gov/pubmed/29321403
http://dx.doi.org/10.2169/internalmedicine.9893-17
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author Oyakawa, Takuya
Muraoka, Nao
Iida, Kei
Kusuhara, Masatoshi
Naito, Tateaki
author_facet Oyakawa, Takuya
Muraoka, Nao
Iida, Kei
Kusuhara, Masatoshi
Naito, Tateaki
author_sort Oyakawa, Takuya
collection PubMed
description A patient with a history of lung adenocarcinoma was admitted because of palpitation. Transthoracic echocardiogram revealed a mass (74×42 mm) in the right ventricle. Computed tomography showed a tumor lesion in the right ventricular cavity but no other distant metastasis. Coronary angiography revealed well-developed small branches to the tumor. After right heart catheterization, a pathological analysis of a tumor biopsy demonstrated adenocarcinoma. We diagnosed the patient with right ventricular metastasis of lung cancer. With large cardiac metastasis, a tumor biopsy with a right heart catheter may help obtain a pathological diagnosis and also serve as a re-biopsy to confirm the gene mutation status.
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spelling pubmed-60286692018-07-03 A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy Oyakawa, Takuya Muraoka, Nao Iida, Kei Kusuhara, Masatoshi Naito, Tateaki Intern Med Case Report A patient with a history of lung adenocarcinoma was admitted because of palpitation. Transthoracic echocardiogram revealed a mass (74×42 mm) in the right ventricle. Computed tomography showed a tumor lesion in the right ventricular cavity but no other distant metastasis. Coronary angiography revealed well-developed small branches to the tumor. After right heart catheterization, a pathological analysis of a tumor biopsy demonstrated adenocarcinoma. We diagnosed the patient with right ventricular metastasis of lung cancer. With large cardiac metastasis, a tumor biopsy with a right heart catheter may help obtain a pathological diagnosis and also serve as a re-biopsy to confirm the gene mutation status. The Japanese Society of Internal Medicine 2018-01-11 2018-06-01 /pmc/articles/PMC6028669/ /pubmed/29321403 http://dx.doi.org/10.2169/internalmedicine.9893-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Oyakawa, Takuya
Muraoka, Nao
Iida, Kei
Kusuhara, Masatoshi
Naito, Tateaki
A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy
title A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy
title_full A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy
title_fullStr A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy
title_full_unstemmed A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy
title_short A Patient with a Massive Single Cardiac Metastasis of Lung Adenocarcinoma, Diagnosed via a Biopsy
title_sort patient with a massive single cardiac metastasis of lung adenocarcinoma, diagnosed via a biopsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028669/
https://www.ncbi.nlm.nih.gov/pubmed/29321403
http://dx.doi.org/10.2169/internalmedicine.9893-17
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