Presentation
The presentation, including the diagnostic difficulties, as well as the clinical features of this rare case, are discussed. [ncbi.nlm.nih.gov]
Entire Body System
- Congestive Heart Failure
Cardiac comorbidities [hypertension (HTN), cardiac arrhythmia (CAr), coronary artery disease (CAD), congestive heart failure (CHF), and myocardial infarction (MI)] were evaluated within 6 months prior to chemotherapy initiation. [cancerres.aacrjournals.org]
Despite emergency resection, the patient died of severe congestive heart failure 6 days after operation. [link.springer.com]
Sakai et al., [ 5 ] discussed a patient who experienced symptoms of congestive heart failure two weeks after Carboplatin therapy [ 5 ]. [omicsonline.org]
- Weight Loss
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. [moh-it.pure.elsevier.com]
He also reported constitutional symptoms of fever, poor appetite and weight loss. The chest roentgenogram showed a massive right pleural effusion with apparent cardiomegaly. [ncbi.nlm.nih.gov]
Fever, malaise, weight loss, night sweats, and loss of appetite may also be present. [merckmanuals.com]
Respiratoric
- Dyspnea
The patient presented with exertional dyspnea and tachycardia and was found to have a large mass in the right atrium. He underwent surgical removal of the tumor, but curative excision was not possible. [ncbi.nlm.nih.gov]
Interrupt Herceptin infusion for dyspnea or clinically significant hypotension. Monitor patients until symptoms completely resolve. [herceptin.com]
Chapter 44 Metastatic Cardiac Lymphoma First published: 25 March 2018 Summary This chapter presents a case of a 49‐year‐old female who was admitted due to exertion dyspnea. The patient underwent biopsy. [onlinelibrary.wiley.com]
- Pleural Effusion
Cytological findings of the cardiac and pleural effusions. The cytological specimens of the cardiac and pleural effusions showed the same features. [spandidos-publications.com]
The chest roentgenogram showed a massive right pleural effusion with apparent cardiomegaly. The cardiac silhouette over the right heart border was obliterated and the mediastinum was widened. [ncbi.nlm.nih.gov]
A chest X-ray posteroanterior view showed right-sided pleural effusion and cardiomegaly [Figure 1]. A thoracocentesis was done, and 750 ml of hemorrhagic pleural fluid was evacuated. [jacpjournal.org]
A & B: Lung findings showing lymphangiticcarcinomatosis, bilateral pleural effusions with pleural thickening-metastatic pleural disease During his hospital stay, patient was commenced on radiation therapy and also received 2 cycles of chemotherapy. [article.sapub.org]
effusions, noncardiogenic pulmonary edema, pulmonary insufficiency and hypoxia, acute respiratory distress syndrome, and pulmonary fibrosis. [herceptin.com]
Liver, Gall & Pancreas
- Hepatomegaly
She had a tender hepatomegaly 8 cm below the costal margin. Had no murmurs, heart sound were of normal intensity. [clinmedjournals.org]
Cardiovascular
- Chest Pain
We describe a case of a patient presenting with chest pain and ECG abnormalities concerning for ST-elevation myocardial infarction that eventually was found to have an incidental right ventricular mass on chest CT angiogram. [ncbi.nlm.nih.gov]
In June 2017, she returned to the hospital, this time with complaints of acute onset chest pain. [medpagetoday.com]
However, the differential diagnosis is critical and when a patient is encountered with chest pain and ST elevation, STEMI should not be the only diagnosis considered. [turkjemergmed.com]
Case presentation A 12-years-old girl was presented with an acute history of fever, cough and chest pain. She had associated difficulty in breathing, lower limb swelling and exercise intolerance. [clinmedjournals.org]
- Heart Disease
Conference: 7th Annual ENETS Conference (2010) Category: Clinical Presenting Author: Christopher Wong #105 A pilot study using biochemical markers to predict acrcinoid heart disease in patients with carcinoid disease Introduction: Carcinoid heart disease [enets.org]
Human Malignant melanoma Metastasis Cardiac tamponade Cardiovascular disease Heart disease Pericardial disease Malignant tumor Keyword (es) Corazón Hombre Melanoma maligno Metástasis Taponamiento Aparato circulatorio patología Cardiopatía Pericardio [pascal-francis.inist.fr]
Approximately 55% of patients with carcinoid syndrome develop a carcinoid heart disease, mostly affecting the right heart (in particular causing tricuspid valve stenosis or insufficiency) [2-4]. A small pericardial effusion can be present [5]. [scmr.org]
disease, heart failure, hypertension, ischaemic stroke, embolic or thrombotic events, arrhythmias, conductive disorders). [clinicaltrials.gov]
Related pages: - Heart disease causes and treatment - Diseases of the brain - Stop heart attack with a breathing exercise - Heart palpitations - Effects of breathing retraining on heart conditions. - Cancer and breathing, with links to the most effective [normalbreathing.com]
- Tachycardia
In this case, a cardiac metastasis from a squamous cell carcinoma presented with both persistent ST elevation and paroxysmal supraventricular tachycardia. [ncbi.nlm.nih.gov]
[…] manifested as tachycardia-bradycardia syndrome that mimicked sick sinus syndrome. [revespcardiol.org]
For this reason, paragangliomas can cause episodes of tachycardia, headaches, hypertension, and sweating. [verywellhealth.com]
Electrocardiography demonstrated sinus tachycardia at 113 bpm, without any other anomaly. The next day, the patient awoke experiencing sudden dyspnea, dizziness, fever, and tachycardia. On exam, she looked ill, diaphoretic, and mildly distressed. [current-oncology.com]
- Cardiomegaly
The chest roentgenogram showed a massive right pleural effusion with apparent cardiomegaly. The cardiac silhouette over the right heart border was obliterated and the mediastinum was widened. [ncbi.nlm.nih.gov]
A chest X-ray posteroanterior view showed right-sided pleural effusion and cardiomegaly [Figure 1]. A thoracocentesis was done, and 750 ml of hemorrhagic pleural fluid was evacuated. [jacpjournal.org]
Plain radiograph Findings are non-specific on chest x-ray, but may include: cardiomegaly (e.g. indicating pericardial effusion and/or cardiac congestion) gross mediastinal lymphadenopathy Comparison with previous films is important. [radiopaedia.org]
Chest x-ray showed mild cardiomegaly and minimal right pleural effusion. Hematology parameters were normal in the laboratory analysis. Creatinine was 2.3 mg/dL; Na +, 140 mmol/L; K +, 6,3 mmol/L, and digoxin was within therapeutic values. [revespcardiol.org]
Musculoskeletal
- Fracture
[…] metastasis of a small-cell lung cancer was found on the whole-body F-fluoro-deoxy-glucose positron emission tomography/computed tomography (F-FDG-PET/CT) of a 69-year-old smoker investigated for a right pulmonary mass discovered on chest radiography after a fracture [ncbi.nlm.nih.gov]
With this as basis, two kinds of integrated models are presented which can be implemented in a finite-element code and used in ductile fracture simulations, in particular for metal forming processes. [authormapper.com]
The rare cases of fiyaatД± originate from underestimated displacements in younger children with fracture lines through the cartilaginous, radiologically invisible, part of the still minimally ossified ventolin inhaler ibu hamil. [igrazakonom.ru]
Neurologic
- Asthenia
[…] patients with severe infusion reactions Infusion reactions consist of a symptom complex characterized by fever and chills, and on occasion include nausea, vomiting, pain (in some cases at tumor sites), headache, dizziness, dyspnea, hypotension, rash, and asthenia [herceptin.com]
Sometimes, the patient complains of nonspecific symptoms, such as asthenia or exercise intolerance, which are attributed to other causes. [revespcardiol.org]
During the previous hospitalization, for worsening edema and marked anorexia and asthenia, he underwent abdominal computed tomography (CT), which revealed nodular lesions in the liver and extensive thrombosis of the portal vein, extending up to the superior [revportcardiol.org]
- Confusion
The chief significance of symptoms caused by metastatic cardiac tumors is that they may be confused with symptoms caused by cardiac toxicity from chemotherapy. [verywellhealth.com]
Workup
On imaging workup, including transthoracic echocardiography and cardiac computed tomography, we found a large right ventricular mass. [ncbi.nlm.nih.gov]
A detailed cardiac workup revealed no significant findings on echocardiogram, nuclear medicine stress test, or holter monitoring. Further evaluation with octreoscan revealed a small focus of abnormal uptake adjacent to the left atrial appendage. [aocr.org]
Because of the short amount of time, workup for the primary cancer including colonoscopy and prostate-specific antigen screening was not performed. [jmedicalcasereports.biomedcentral.com]
X-Ray
- Pericardial Effusion
Transthoracic echocardiography revealed massive localized pericardial effusion with the collapse of both ventricles and the mass-like echo in the left atrium. [ncbi.nlm.nih.gov]
However, pericardial effusion is not a reliable sign of pericardial involvement by lymphoma, since effusion may be present in patients with or without pericardial tumor. [pubs.rsna.org]
Most frequent CT features of pericardial metastases include pericardial effusion, prepericardial lymph nodes, and pericardial thickening, enhancement, and nodules in order of decreasing frequency 2. [radiopaedia.org]
Computed tomographic imaging revealed a small bowel mass as well as a pericardial effusion. Cardiac magnetic resonance imaging showed a tricuspid mass. Endomyocardial biopsy confirmed metastatic disease consistent with a cervical primary. [scholars.northwestern.edu]
Etiologic diagnosis of 204 pericardial effusions. Medicine (Baltimore) 2003;82:385-91. Sagrista-Sauleda J, Merce J, Permanyer-Miralda G, Soler-Soler J. Clinical clues to the causes of large pericardial effusions. Am J Med 2000;109:95-101. [acc.org]
Pleura
- Pleural Effusion
Cytological findings of the cardiac and pleural effusions. The cytological specimens of the cardiac and pleural effusions showed the same features. [spandidos-publications.com]
The chest roentgenogram showed a massive right pleural effusion with apparent cardiomegaly. The cardiac silhouette over the right heart border was obliterated and the mediastinum was widened. [ncbi.nlm.nih.gov]
A chest X-ray posteroanterior view showed right-sided pleural effusion and cardiomegaly [Figure 1]. A thoracocentesis was done, and 750 ml of hemorrhagic pleural fluid was evacuated. [jacpjournal.org]
A & B: Lung findings showing lymphangiticcarcinomatosis, bilateral pleural effusions with pleural thickening-metastatic pleural disease During his hospital stay, patient was commenced on radiation therapy and also received 2 cycles of chemotherapy. [article.sapub.org]
effusions, noncardiogenic pulmonary edema, pulmonary insufficiency and hypoxia, acute respiratory distress syndrome, and pulmonary fibrosis. [herceptin.com]
Treatment
Selected patients may benefit from multimodality treatment. [ncbi.nlm.nih.gov]
Prognosis
Patients who are diagnosed with localized disease usually have a favorable prognosis, while those who present with widespread metastases usually have a poor prognosis and ultimately, succumb to their disease. [ncbi.nlm.nih.gov]
CONCLUSION: Cervical cancer metastatic to the heart is rare and associated with a poor prognosis. [scholars.northwestern.edu]
Etiology
Etiology of large pericardial effusions. Am J Med 1993;95:209-13. Levy PY, Corey R, Berger P, et al. Etiologic diagnosis of 204 pericardial effusions. Medicine (Baltimore) 2003;82:385-91. [acc.org]
On the etiology of anal squamous carcinoma. Dan Med Bull. 2002 Aug; 49(3):194-209. [6] Meyer JEet al. HIV positivity but not HPV/p16 status is associated with higher recurrence rate in anal cancer. [article.sapub.org]
On TTE evaluation, the patient was found to have a pericardial effusion requiring pericardial window and drainage; 800 cc of bloody fluid was removed, and fluid analysis confirmed the presence of squamous cell carcinoma from cervical etiology. [medpagetoday.com]
Epidemiology
Epidemiological information relating to cardiac metastases is predominantly based on autopsy studies. The reported incidence ranges from 2.3-18.3%. It is usually found in the presence of widely disseminated disease. [ncbi.nlm.nih.gov]
We briefly discuss epidemiology and pathogeny of cardiac metastases. [kns.cnki.net]
Epidemiological pathological characteristics of cardiac tumors: a clinical study of 242 cases. Interact Cardiovasc Thorac Surg. 2007;6(5):636–9. [cardiothoracicsurgery.biomedcentral.com]
Pathophysiology
AIM: To investigate the clinical and pathologic findings, and to discuss the pathophysiology of hepatocellular carcinoma with cardiac metastasis. [ncbi.nlm.nih.gov]
Technical advances have rendered both CT and particularly CMR highly effective for most applications, and unique in the evaluation of cardiovascular anatomy, physiology, and pathophysiology. [books.google.com]
[…] http://dx.doi.org/10.3748/wjg.15.2675 [ 5 ] Katalinic, D., Stern-Padovan, R., Ivanac, I., Aleric, I., Tentor, D., Nikolac, N., et al. (2013) Symptomatic cardiac metastases of breast cancer 27 years after mastectomy: A case report with literature review—Pathophysiology [scirp.org]
Pathophysiology and clinical signifi- cance of atherosclerotic plaque. 5 g 7. There was less bleeding in the bivalirudin arm. [masa42.ru]
Symptomatic cardiac metastases of breast cancer 27 years after mastectomy: A case report with literature review – Pathophysiology of molecular mechanisms and metastatic pathways, clinical aspects, diagnostic procedures and treatment modalities. [jacpjournal.org]
Prevention
[…] and early detection of cervical cancer: American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. [nccn.org]
A beta-blocker, such as carvedilol, is used to treat heart failure and high blood pressure, and it may prevent the heart from side effects of chemotherapy. Detailed Study Description PRIMARY OBJECTIVES: I. [centerwatch.com]
Her domains of interest are heart failure, echocardiography, prevention medicine and cardio-oncology. Email: [email protected] PDF HTML [omicsonline.org]
We must, however, as suggested by Nabozny et al, 1 be very careful with this type of resuscitation and not hesitate to reassess daily the number of organ failures to prevent the use of unreasonable and futile ICU care after initial successful CPR. 1 Thus [jamanetwork.com]