Metastatic tumor of the right ventricle: an unusual location of tumor involvement in laryngeal carcinoma

• Type: Summary of Presentation in an International Conference
• Date: 2012

Authors

Rangel I (Author) Other; Gonçalves A (Author) Other; Sousa C (Author) Other; Sousa A (Author) Other; Correia AS (Author) Other; Paiva M (Author) Other; Ribeiro V (Author) Other; Melão F (Author) Other; Macedo F (Author) Other; Maciel MJ (Author) FMUP

Conference proceedings International

Title: European Journal of Heart Failure Supplements

Initial page: P329

Heart Failure Congress 2012

Belgrade, 2012

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

Other information

Abstract (EN): Introduction: Secondary tumors are much more common than primary tumors, however, the cardiac metastasis of laryngeal carcinoma is uncommon. Case report: We describe the case of a man of 71 years old, hypertensive, ex-smoker. One year ago he was diagnosed with epidermal carcinoma of the larynx, having undergone total laryngectomy and tracheostomy. Admitted to the Emergency Service with 2-week evolution of symptoms suggestive of respiratory infection. Analytically, with elevated inflammatory markers. The chest radiography showed pleural effusion and bilateral pulmonary infiltrate, having been admitted with the diagnosis of community-acquired pneumonia. Empirical antibiotic treatment was initiated, later guided by antibiogram. In the absence of therapeutic response and progressive clinical deterioration, a transthoracic echocardiogram was performed and revealed a large infiltrating mass within the right ventricle, involving the apex, interventricular septum and free wall, not conditioning significant right ventricular outflow tract obstruction. He also had preserved biventricular systolic function, without evidence of vegetations. The cardiac mass observed was interpreted as a secondary tumor of the laryngeal cancer. For further evaluation and staging of the neoplastic disease, abdominal-cervical-thoracic CT scan was performed, which showed signs of lung, bone, liver, adrenal and heart metastisation. At the heart, an injury also stood out at the dependence of the pericardium adjacent to the left ventricle. The patient was considered for palliative treatment, given the end stage of the neoplastic disease, of poor prognosis. He is currently at home, in superimposable clinical status, maintaining antibiotic treatment. Conclusion: Late diagnosis of metastatic cardiac tumors often implies high rates of morbi-mortality, as well as extensive spread of the disease, with multiorgan involvement. Early imaging characterization plays an important role for a reasoned decision and appropriate therapeutic approach.

Language: English

Type (Professor's evaluation): Scientific

Notes: Rangel I, Gonçalves A, Sousa C, Sousa A, Correia AS, Paiva M, Ribeiro V, Melão F, Macedo F, Maciel MJ. Metastatic tumor of the right ventricle: an unusual location of tumor involvement in laryngeal carcinoma. Eur J Heart Fail Suppl 2012; 11(Suppl 1): P329. ISSN 1567-4215. Heart Failure Congress 2012, Belgrade, 2012