Metastasi cardiache di adenocarcinoma poco differenziato a sede primitiva occulta

Translated title of the contribution: Cardiac metastasis of poorly differentiated adenocarcinoma of unknown primary site

Gianluigi Mazzoccoli, Stefano Carughi, Marco La Viola, Angelo De Cata, Felice Puzzolante, Antonio Camagna, Aldo Russo, Sergio Caparrotti

Research output: Contribution to journalArticle

Abstract

The finding of intracardiac masses is very uncommon. In this patient the early clinical picture was characterized by neurologic signs and symptoms as mild forgetfulness, blurred vision, a sensation of imbalance, anorexia, weight loss. Brain magnetic resonance imaging showed multiple metastatic lesions, computed tomography of the chest, abdomen and pelvis showed intraatrial masses and whole body nuclear scanning evidenced bone lesion. It was not possible to find the primary tumor by other instrumental or laboratory exams. Transesophageal echocardiography showed a mass originating from interatrial septum, with atrial invasion and risk of embolization from the left atrium. The patient was transferred to the operating room for cardiac surgery, the mass at risk for embolization was resected and the specimen consisted of fibrous and fibrino-necrotic tissue infiltrated by poorly differentiated adenocarcinoma. The patient received brain and bone radiotherapy and chemiotherapy with cisplatin and vinorelbin.

Translated title of the contributionCardiac metastasis of poorly differentiated adenocarcinoma of unknown primary site
Original languageItalian
Pages (from-to)1112-1116
Number of pages5
JournalItalian Heart Journal Supplement
Volume3
Issue number11
Publication statusPublished - Nov 2002

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Mazzoccoli, G., Carughi, S., La Viola, M., De Cata, A., Puzzolante, F., Camagna, A., Russo, A., & Caparrotti, S. (2002). Metastasi cardiache di adenocarcinoma poco differenziato a sede primitiva occulta. Italian Heart Journal Supplement, 3(11), 1112-1116.