Patient: Male, 72-year-old Final Diagnosis: Metastatic squamous cell carcinoma Symptoms: None Medication: — Clinical Procedure: — Specialty: Cardiology Objective: Background: Case Report: Conclusions: Rare disease Cardiac metastases of head and neck tumors are extremely rare, and antemortem diagnosis is even rarer. In most cases, patients show symptoms or electrocardiographic abnormalities and expected survival is consider-ably low. A 72-year-old man was admitted to our cardiology ward with suspected endocarditis 2 months after a right hemiglossectomy for a squamous cell carcinoma. He was asymptomatic and showed no electrocardiogram ab-normalities. Echocardiography showed an iso-ipoechogenic round-shaped formation at the right ventricle apex that was suspected to be a metastasis owing to 2 cardiac magnetic resonance imaging examinations show-ing a significant increase in its volume over 14 days. The patient was evaluated by a multidisciplinary team and referred for first-line chemotherapy with carboplatin, 5-fluoruracil, and cetuximab. He died after almost 4 months of follow-up. This case presents a very rare diagnosis as well as some unique features, including the intramyocardial local-ization, the absence of symptoms, and electrocardiogram abnormalities. Our report shows the relevance of imaging techniques in defining even the most unusual clinical findings, and it emphasizes the significance of early recognition of cardiac masses in order to identify the appropriate medical or surgical therapy for patients.

Myocardial metastasis of tongue cancer: a rare localization / Carbonaro, M.; Russo, G.; Mezi, S.; Mancuso, G.; Paravati, V.; Barilla, F.; Gaudio, C.; Pannarale, G.; Torromeo, C.. - In: THE AMERICAN JOURNAL OF CASE REPORTS. - ISSN 1941-5923. - 22:1(2021), pp. e927459-1-e927459-7. [10.12659/AJCR.927459]

Myocardial metastasis of tongue cancer: a rare localization

Carbonaro M.
Primo
;
Russo G.
Secondo
;
Mezi S.;Mancuso G.;Paravati V.;Gaudio C.;Pannarale G.
Penultimo
;
Torromeo C.
Ultimo
2021

Abstract

Patient: Male, 72-year-old Final Diagnosis: Metastatic squamous cell carcinoma Symptoms: None Medication: — Clinical Procedure: — Specialty: Cardiology Objective: Background: Case Report: Conclusions: Rare disease Cardiac metastases of head and neck tumors are extremely rare, and antemortem diagnosis is even rarer. In most cases, patients show symptoms or electrocardiographic abnormalities and expected survival is consider-ably low. A 72-year-old man was admitted to our cardiology ward with suspected endocarditis 2 months after a right hemiglossectomy for a squamous cell carcinoma. He was asymptomatic and showed no electrocardiogram ab-normalities. Echocardiography showed an iso-ipoechogenic round-shaped formation at the right ventricle apex that was suspected to be a metastasis owing to 2 cardiac magnetic resonance imaging examinations show-ing a significant increase in its volume over 14 days. The patient was evaluated by a multidisciplinary team and referred for first-line chemotherapy with carboplatin, 5-fluoruracil, and cetuximab. He died after almost 4 months of follow-up. This case presents a very rare diagnosis as well as some unique features, including the intramyocardial local-ization, the absence of symptoms, and electrocardiogram abnormalities. Our report shows the relevance of imaging techniques in defining even the most unusual clinical findings, and it emphasizes the significance of early recognition of cardiac masses in order to identify the appropriate medical or surgical therapy for patients.
File allegati a questo prodotto
File Dimensione Formato  
Carbonaro_Myocardial_2021.pdf

accesso aperto

Note: https://www.amjcaserep.com/download/index/idArt/927459
Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Creative commons
Dimensione 1.42 MB
Formato Adobe PDF
1.42 MB Adobe PDF Visualizza/Apri PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11573/1556066
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact