Transthoracic Echocardiography-Guided Biopsy of a Metastatic Endometrial Adenocarcinoma in the Right Atrium: A Review of Diagnosis and Treatment of Cardiac Masses

Kanjwal, Khalil; Colyer, William R.

doi:10.1097/mjt.0b013e3181c479ab

Cited by 6 publications

(1 citation statement)

References 31 publications

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“…When malignancy is suspected, transvenous cardiac biopsy can be utilized to obtain pathology, especially when complete surgical resection is thought not possible or too risky. Biopsy guidance with TTE, TEE or intracardiac echocardiography (ICE) improves diagnostic sampling and safety, and right sided masses are preferred due to a lower risk of systemic embolization (17)(18)(19).…”

Section: Discussionmentioning

confidence: 99%

Atrial Masses Post Cardiac Transplantation: Diagnostic and Treatment Dilemmas

Baumwol

Delgado

Cusimano

et al. 2012

American Journal of Transplantation

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Atrial masses post cardiac transplant are not well reported and their diagnosis and treatment can be challenging. In the asymptomatic patient, differentiating thrombus from cardiac tumor can sometimes be difficult and the use of multiple imaging modalities is recommended. Accurate diagnosis is imperative to inform a treatment plan that balances the benefits and risks of a medical versus surgical approach. We present three cases of atrial masses post cardiac transplant to illustrate this clinical dilemma.

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Section: Discussionmentioning

confidence: 99%

Atrial Masses Post Cardiac Transplantation: Diagnostic and Treatment Dilemmas

Baumwol

Delgado

Cusimano

et al. 2012

American Journal of Transplantation

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Cardiac metastasis of uterine cervical squamous cell carcinoma: A case report and review of the literature

Takeda

Fujimoto

Morita

et al. 2014

Journal of Cardiology Cases

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Case report—right atrial mass: a very rare presentation of endometrial cancer metastasis

Erturk,

Soyler,

Pehlivan

et al. 2023

European Heart Journal - Case Reports

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Background We report a case of a 47-year-old woman with right atrial metastasis of endometrioid adenocarcinoma, which is an uncommon clinical presentation for patients with endometrial cancer (EC). The principal aim of this case is to demonstrate the possibility of distant metastasis, something rarely encountered among this group of patients. Case Summary Our patient, diagnosed with EC, and receiving chemotherapy, and radiotherapy after surgery, was found to have enhanced 18-FDG (Fluorodeoxyglucose) uptake inside the right atrium on the repeat PET-CT (positron emission tomography and computed tomography) scan at the 9th month after initial diagnosis. Following transesophageal echocardiography, cardiac magnetic resonance imaging showed a hyper-vascular mass with right atrial lateral wall involvement likely to be malignant in nature. A right atrial tumor was successfully removed by cardiovascular surgeons, and a pericardial patch was placed at the site of the excised atrium. The pathological examination showed EC metastasis. Following surgery, systemic treatment was planned for recurrent EC. The patient had an uneventful recovery after the surgery. Discussion Endometrial cancer is the most common gynecologic malignancy and the fourth most common cancer in women. The lymphatic pathway is the main metastatic behavior of EC; however, hematogenous metastases are not uncommon, especially in patients with higher stages of the disease. Our patient did not show any signs and symptoms of cardiac involvement. Nevertheless, clinicians should be alert for symptoms of cardiac involvement like new-onset murmur, embolism, or dyspnea. Having known the behavioral pattern of the primary tumor, timely utilization of diagnostic imaging methods in accordance with clinical suspicions in patients with rapidly growing tumors can be lifesaving.

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Transthoracic Echocardiography-Guided Biopsy of a Metastatic Endometrial Adenocarcinoma in the Right Atrium: A Review of Diagnosis and Treatment of Cardiac Masses

Cited by 6 publications

References 31 publications

Atrial Masses Post Cardiac Transplantation: Diagnostic and Treatment Dilemmas

Atrial Masses Post Cardiac Transplantation: Diagnostic and Treatment Dilemmas

Cardiac metastasis of uterine cervical squamous cell carcinoma: A case report and review of the literature

Case report—right atrial mass: a very rare presentation of endometrial cancer metastasis

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