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2000
Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Background:

Secondary cardiac tumors are a rare disease that is hard to detect when the tumor is small and asymptomatic. This case report focuses on a massive pulmonary metastasis filling almost the entire left atrium. Multimodal enhancement imaging, cardiac contrast-enhanced ultrasound (CEUS), enhanced electron computed tomography, and positron emission tomography imaging were applied to detect the malignant origin of this case. The aim of this project was to provide an important basis for clinical treatment and decision-making with multimodal imaging.

Case Presentation:

The patient was hospitalized with suspected to be a lumbar spine fracture. According to the multimodal imaging, pathologically confirmed to suffer a cardiac metastasis from small cell lung cancer. EP-regimen (Etoposide 0.1gd 1-5+Nedaplatin 30mgd 1-4) was selected for the systemic chemotherapy of the patient. During three years of follow-up, the left intra-atrial occupancy was significantly reduced.

Conclusion:

Multimodality imaging can cover up the deficiencies of single imaging examinations and further clarify and enrich the understanding of the relationship between the location and the surrounding structure of the mass, thus providing a good reference for clinical treatment and decision-making.

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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2024-02-27
2025-06-01
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References

  1. SaricM. ArmourA.C. ArnaoutM.S. ChaudhryF.A. GrimmR.A. KronzonI. LandeckB.F. MagantiK. MichelenaH.I. TolstrupK. Guidelines for the use of echocardiography in the evaluation of a cardiac source of embolism.J. Am. Soc. Echocardiogr.201629114210.1016/j.echo.2015.09.01126765302
    [Google Scholar]
  2. MaimaitiailiA. ZhangW. GuoY. ElmaikD. TangN. ZhangZ. Survival of patients with primary cardiac tumors in an 11-year single center study.Heart Surg. Forum2019222E097E10210.1532/hsf.227131013217
    [Google Scholar]
  3. AmanoJ. NakayamaJ. YoshimuraY. IkedaU. Clinical classification of cardiovascular tumors and tumor-like lesions, and its incidences.Gen. Thorac. Cardiovasc. Surg.201361843544710.1007/s11748‑013‑0214‑823460447
    [Google Scholar]
  4. SarjeantJ.M. ButanyJ. CusimanoR.J. Cancer of the heart.Am. J. Cardiovasc. Drugs20033640742110.2165/00129784‑200303060‑0000414728061
    [Google Scholar]
  5. Nova-CamachoL.M. Gomez-DorronsoroM. GuarchR. CordobaA. CevallosM.I. Panizo-SantosA. Cardiac metastasis from solid cancers: A 35-year single-center autopsy study.Arch. Pathol. Lab. Med.2023147217718410.5858/arpa.2021‑0418‑OA35639589
    [Google Scholar]
  6. KlattE.C. HeitzD.R. Cardiac metastases.Cancer19906561456145910.1002/1097‑0142(19900315)65:6<1456::AID‑CNCR2820650634>3.0.CO;2‑52306690
    [Google Scholar]
  7. OrcurtoM.V. DelaloyeA.B. LetovanecI. Martins FavreM. PriorJ.O. Detection of an asymptomatic right-ventricle cardiac metastasis from a small-cell lung cancer by F-18-FDG PET/CT.J. Thorac. Oncol.20094112713010.1097/JTO.0b013e318189f60e19096320
    [Google Scholar]
  8. TamuraA. MatsubaraO. YoshimuraN. KasugaT. AkagawaS. AokiN. Cardiac metastasis of lung cancer. A study of metastatic pathways and clinical manifestations.Cancer199270243744210.1002/1097‑0142(19920715)70:2<437::AID‑CNCR2820700211>3.0.CO;2‑L1617593
    [Google Scholar]
  9. ChandraR. AbugrounA. GoldbergA. CooneyE. MehrotraS. VolgmanA. Small cell lung cancer invading the left atrium with subsequent malignant embolic stroke: A case report and review of literature.Cardiol. Res.201910318819210.14740/cr752w31236182
    [Google Scholar]
  10. LiuL. FangA. ChengS. GuoG. ZhangS. ChenX. PanJ. SunB. YaoJ. Diagnosis and survival analyses of patients with space-occupying cardiac lesions: a 10-year retrospective single-center study.Quant. Imaging Med. Surg.20221284081409410.21037/qims‑21‑115135919055
    [Google Scholar]
  11. JackmanD.M. JohnsonB.E. Small-cell lung cancer.Lancet200536694941385139610.1016/S0140‑6736(05)67569‑116226617
    [Google Scholar]
  12. KarlofE. SalzbergS.P. AnyanwuA.C. SteinbockB. FilsoufiF. How fast does an atrial myxoma grow?Ann. Thorac. Surg.20068241510151210.1016/j.athoracsur.2005.11.01416996968
    [Google Scholar]
  13. RobertsW.C. Primary and secondary neoplasms of the heart.Am. J. Cardiol.199780567168210.1016/S0002‑9149(97)00587‑09295010
    [Google Scholar]
  14. RenM. HuangL. YeX. XvZ. OuyangC. HanZ. Evaluation of cardiac space-occupying lesions by myocardial contrast echocardiography and transesophageal echocardiography.J. Healthc. Eng.2022202211010.1155/2022/206603335126908
    [Google Scholar]
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