A right ventricular metastasis of a large cell cancer: A case of multiple cancer

Abstract

The rate of cardiac metastasis from internal malignancies is estimated to be nearly 10 percent of autopsies of cancer patient cases. Almost all of these cases are direct invasions of malignancies from the pericardium or intra-myocardial metastasis. We report here a case in which almost all of the right ventricular cavity was occupied by a tumor, and this condition was diagnosed by means of two-dimensional echocardiography antemortem diagnosis. Metastasis to other organs were revealed on autopsy. Furthermore, two different histological types of cancers in the lung and the stomach were also found. CASE REPORTA 77-year-old man who had a syncopal attack was brought to the hospital by ambulance at 7:30 A.M. on April 9, 1986 within 20 minutes of the attack. He had undergone a subtotal gastrectomy for gastric cancer 6 years earlier. Prior to admission, he had been under observation for the previous 18 months, and during this period a new early gastric adenocarcinoma and early lung epidermoid carcinoma were diagnosed. The second gastric cancer was not considered to be a relapse of the former one because the location was quite different. It was treated with the photodynamic method using an argon dye laser. The early polypoid epidermoid carcinoma in the lung was also treated by the photodynamic method with an argon dye laser. Although he was found unconscious at his home, he recovered from syncope on admission.He had no respiratory complaints, his blood

An Unusual Presentation of Simultaneous Bilateral Popliteal Artery Embolism

“…In patients with malignant involvement of the heart, the most common presenting symptoms are pericardial disease including tamponade or constriction, congestive symptoms, ischemia, and arrhythmias. 4,11,12 Direct intracardiac tumor extension is less common. Several reports do allude to this entity,&dquo;-15 which usually become manifest as cerebral or peripheral embolization or a symptomatic left atrial mass.…”