Metastasis of sarcomatous hepatocellular carcinoma to myocardium-An autopsy case-

Doi, Tadashi; Kikuchi, Shyouhei; Okuda, Toshinori; Sato, Yasuhiro; Ohta, Hidetoshi; Fujimi, Akihito; Kanisawa, Yuji; Fujise, Yukiyasu; Nobuoka, Atsushi; Umeda, Ikumi

doi:10.2957/kanzo.47.511

Cited by 1 publication

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“…However, myocardial metastases can cause sudden death or other significant clinical problems such as syncope, and indeed, such cases have been previously reported. For example, myocardial metastases can provoke atrial and ventricular heart rhythm disturbances and conduction defects, including complete atrioventricular block (5)(6)(7)(8)(9), and may cause myocardial infarction or angina pectoris as a result of invasion or compression of a coronary artery (1,(10)(11)(12). Although there are no established therapeutic strategies, several reports have shown that, in patients whose myocardial metastasis caused complete atrioventricular block, pacemaker implantation or systemic chemotherapy might be effective (7,8).…”

Section: Discussionmentioning

confidence: 99%

Double Primary Cancers: Intrahepatic Cholangiocarcinoma with Myocardial Metastases and Lung Squamous Cell Carcinoma

et al. 2012

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We herein present a rare case of myocardial metastases from intrahepatic cholangiocarcinoma. The patient was a 68-year-old man diagnosed with stage IVb intrahepatic cholangiocarcinoma. Growing low-density nodules at the cardiac interventricular septum and the left lateral wall were found on contrast enhanced computed tomography (CECT). He died and an autopsy was performed. Intrahepatic cholangiocarcinoma was found to have metastasized to the myocardium, and these myocardial metastases conformed to the low-density nodules detected on CECT. A hilar nodule in the lung was revealed to be lung squamous cell carcinoma. This was a rare case of intrahepatic cholangiocarcinoma with myocardial metastases and lung squamous cell carcinoma.

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