Right ventricular outflow tract obstruction by cardiac metastasis as the first manifestation of follicular thyroid carcinoma

Kasprzak, Jarosław D.; Religa, Wojciech; Krzemińska‐Pakuła, Maria; Marszal-Marciniak, M; Zasłonka, Janusz; Pawłowski, Witold

doi:10.1016/s0894-7317(96)90075-9

Cited by 15 publications

(8 citation statements)

References 3 publications

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“…Radionuclide Iodine uptake scans (thyroid scintigraphy) are considered excellent for visualization of ectopic thyroid tissue [11] . It may also help to determine if there is metastasis of malignant thyroid tissue even though this is uncommon in ectopic thyroid [12] . Ultimately, however, a significant proportion of asymptomatic ectopic thyroid cases are ultimately diagnosed only by histological analysis after the mass is excised [6] .…”

Section: Discussionmentioning

confidence: 99%

Incidentally detected ectopic thyroid in juxta cardiac location—Imaging and pathology

Ahuja

Bhandari

Banait-Deshmane

et al. 2018

Radiology Case Reports

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Ectopic thyroid gland is a developmental anomaly that results from the arrest of thyroid tissue along its path of descent from the floor of mouth to the pre tracheal position in the lower neck. It is typically found along the thyroglossal duct with the base of the tongue being the most common site. Apart from mediastinal extension of goiter, the incidence of true intrathoracic ectopic thyroid tissue is rare. Presence of ectopic thyroid has been reported not only in the chest but also in the abdomen and pelvis. Pericardial and intracardiac locations are extremely uncommon and right ventricle location is predominant among the described cases. We describe a case of incidentally detected ectopic thyroid tissue in a rarer location—adjacent to the left atrium. The patient, who had undergone a nephrectomy for renal oncocytoma 5 years ago, presented with unintentional weight loss and left sided flank pain, prompting a workup to rule out abdominal malignancy. Findings on the computed tomography (CT) scan of the abdomen and pelvis prompted further investigation including a chest CT which showed a heterogeneously enhancing mass near the left atrium. Given its location, further radiological investigations played an important role in eliminating the differential diagnosis of paraganglioma. The mass was surgically resected and discovered to be a hyperplastic thyroid nodule on histologic examination.

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Section: Discussionmentioning

confidence: 99%

Incidentally detected ectopic thyroid in juxta cardiac location—Imaging and pathology

Ahuja

Bhandari

Banait-Deshmane

et al. 2018

Radiology Case Reports

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“…It is always very important to rule out the possibility of cardiac metastasis of highly differentiated follicular thyroid cancer. 16 It is recommended to perform thyroid function test several weeks after the operation to rule out potential hypothyroidism. No case of thyroidectomy in patients after struma cordis removal was reported.…”

Section: Discussionmentioning

confidence: 99%

“…Histological diagnosis normally does not represent a problem. It is always very important to rule out the possibility of cardiac metastasis of highly differentiated follicular thyroid cancer . It is recommended to perform thyroid function test several weeks after the operation to rule out potential hypothyroidism.…”

Section: Discussionmentioning

confidence: 99%

Intracardiac Ectopic Thyroid (Struma Cordis)

et al. 2013

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“…In an analysis of 4,124 autopsies [148] and 3,314 autopsies [147], no myocardial metastases of thyroid cancer were found and in 3,249 autopsies, cases of metastases of thyroid to the myocardium was 0.18% [149]. However, case reports have described 13 cases of cardiac metastases of thyroid tumours including two cases of metastatic papillary thyroid carcinomas [152][153][154][155][156][157][158]. In a recent case of a 62-year old male with a history of surgical therapy for thyroid carcinoma, Fukuda et al [159] report myocardial metastases of papillary thyroid carcinoma in both ventricles with a mobile RV pedunculated tumour.…”

Section: Pathophysiologymentioning

confidence: 99%

Hematologic/Oncologic cardiomyopathy: A review and pooled analysis of pathophysiology, diagnosis and clinical management

Albakri¹

2019

Clin Med Invest

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Marked improvement in the accuracy and sensitivity of current diagnostic techniques for cardiac diseases have contributed to the identification of haematologic and oncologic diseases as a possible aetiology of cardiomyopathy (CM). If undiagnosed, the CM may progress to HF and eventually death. This type of CM is exceedingly rare and a precise understanding of its natural cause, pathophysiology, diagnosis and management is undermined by the lack of supporting clinical evidence. Cancer as a direct cause of CM remains controversial. Differentiating cancer-associated CM from chemotherapy-induced CM is difficult since diagnosis of CM is nearly always made after the initiation chemotherapy. Hematologic diseases on the other hand have been classified under restrictive cardiomyopathy (RCM) or dilated cardiomyopathy (DCM) yet they are a distinct clinical entity uniquely characterized by cardiac chamber (atrial and/or ventricular) dilation, diastolic dysfunction and preserved systolic function. Oncologic or haematologic CM has an ominous prognosis although diagnosis is incidental or delayed making management difficult. There is a need to better understand the role of oncologic and/or haematologic diseases in the pathogenesis of CM aimed to improve diagnosis and development of aetiology-specific therapy. Similarly, this review provides an overview of CM in oncology and haematology patients including pathophysiology, presentation, diagnosis and treatment.

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Right ventricular outflow tract obstruction by cardiac metastasis as the first manifestation of follicular thyroid carcinoma

Cited by 15 publications

References 3 publications

Incidentally detected ectopic thyroid in juxta cardiac location—Imaging and pathology

Incidentally detected ectopic thyroid in juxta cardiac location—Imaging and pathology

Intracardiac Ectopic Thyroid (Struma Cordis)

Hematologic/Oncologic cardiomyopathy: A review and pooled analysis of pathophysiology, diagnosis and clinical management

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