Abstract
Although heart metastases are uncommon and generally a sign of disseminated disease, they are up to 40 times more frequent than primary cancers of the heart, and typically arise from melanoma or primary mediastinal cancer, but also from lymphoma, breast cancer, esophageal cancer, and leukemia. They are usually asymptomatic and found only at autopsy. Symptomatic patients generally die within a few weeks of diagnosis and usual treatments are chemotherapy, radiotherapy, or both. Surgical resection is recommended only for a single lesion, which is rare. We describe a 49-year-old man treated for squamous cell cancer of the esophagus in whom a single asymptomatic left heart metastasis was discovered incidentally during follow-up. The lesion was debulked surgically and multimodal treatment followed. The patient survived 1 year after diagnosis with good performance status during which time no other lesion was discovered. Cardiac metastasis is challenging and necessitates skilled multidisciplinary management to maximize the clinical outcome.
| Original language | English |
|---|---|
| Pages (from-to) | e118-e121 |
| Journal | Tumori |
| Volume | 101 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul 1 2015 |
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Keywords
- Cardiac metastases
- Multidisciplinary management
- Prognosis
- Squamous cell esophageal cancer
ASJC Scopus subject areas
- Cancer Research
- Oncology
- Medicine(all)
Cite this
Isolated cardiac metastasis from squamous cell esophageal cancer. / Abbate, Maria Ida; Cicchiello, Federica; Canova, Stefania; Cortinovis, Diego; Mariani, Silvia; Maffini, Fausto; Bidoli, Paolo.
In: Tumori, Vol. 101, No. 4, 01.07.2015, p. e118-e121.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Isolated cardiac metastasis from squamous cell esophageal cancer
AU - Abbate, Maria Ida
AU - Cicchiello, Federica
AU - Canova, Stefania
AU - Cortinovis, Diego
AU - Mariani, Silvia
AU - Maffini, Fausto
AU - Bidoli, Paolo
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Although heart metastases are uncommon and generally a sign of disseminated disease, they are up to 40 times more frequent than primary cancers of the heart, and typically arise from melanoma or primary mediastinal cancer, but also from lymphoma, breast cancer, esophageal cancer, and leukemia. They are usually asymptomatic and found only at autopsy. Symptomatic patients generally die within a few weeks of diagnosis and usual treatments are chemotherapy, radiotherapy, or both. Surgical resection is recommended only for a single lesion, which is rare. We describe a 49-year-old man treated for squamous cell cancer of the esophagus in whom a single asymptomatic left heart metastasis was discovered incidentally during follow-up. The lesion was debulked surgically and multimodal treatment followed. The patient survived 1 year after diagnosis with good performance status during which time no other lesion was discovered. Cardiac metastasis is challenging and necessitates skilled multidisciplinary management to maximize the clinical outcome.
AB - Although heart metastases are uncommon and generally a sign of disseminated disease, they are up to 40 times more frequent than primary cancers of the heart, and typically arise from melanoma or primary mediastinal cancer, but also from lymphoma, breast cancer, esophageal cancer, and leukemia. They are usually asymptomatic and found only at autopsy. Symptomatic patients generally die within a few weeks of diagnosis and usual treatments are chemotherapy, radiotherapy, or both. Surgical resection is recommended only for a single lesion, which is rare. We describe a 49-year-old man treated for squamous cell cancer of the esophagus in whom a single asymptomatic left heart metastasis was discovered incidentally during follow-up. The lesion was debulked surgically and multimodal treatment followed. The patient survived 1 year after diagnosis with good performance status during which time no other lesion was discovered. Cardiac metastasis is challenging and necessitates skilled multidisciplinary management to maximize the clinical outcome.
KW - Cardiac metastases
KW - Multidisciplinary management
KW - Prognosis
KW - Squamous cell esophageal cancer
UR - http://www.scopus.com/inward/record.url?scp=84942867700&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84942867700&partnerID=8YFLogxK
U2 - 10.5301/tj.5000324
DO - 10.5301/tj.5000324
M3 - Article
VL - 101
SP - e118-e121
JO - Tumori
JF - Tumori
SN - 0300-8916
IS - 4
ER -