cardiac metastasis

cardiac metastasis

The indirect—haematogenous, lymphatic or other non-contiguous—development of a malignant tumour in the heart or its surroundings. Neoplastic effusions are more often haemorrhagic, and most commonly affect the pericardium. Primary heart tumours are rare—between 0.001% and 0.28%. Metastases to the heart are found in up to 18% of post mortems of patients who die with cancer.

Common primary tumours
Pleural mesothelioma, melanoma, mediastinal primary tumours.

Effects
Nonspecific conduction defects and arrhythmias, cardiac dysfunction and heart failure due to pericardial effusion, intramural oedema due to lymphatic outflow, filling impairment due to endocardial involvement, and direct myocardial invasion.

Sites of origin (“donors”)
Endocardium Lung, kidney and hepatocellular carcinomas
Myocardium Leukaemia and lymphoma
Pericardium Lungs
Vena cava Renal and hepatocellular carcinomas
References in periodicals archive ?
Cardiac metastasis from a bronchial carcinoid: report of a case presenting with diffuse thickening of the left ventricular wall.
In one reported case, (23) the first and only cardiac manifestation of cardiac metastasis of lung cancer was irreversible, sustained, ventricular arrhythmia leading to death.
The incidence of cardiac metastasis has been reported to be 2.
According to a recent review, the incidence of cardiac metastasis ranges from 2.
We, therefore, suggest that although the prognosis of symptomatic cardiac metastasis of UC is extremely poor, early diagnosis and treatment can help in the management of this life-threatening pathological condition, and an echocardiogram can be useful for early detection.
Cardiac metastasis from transitional cell carcinoma: a subtle echocardiographic entity.
Cardiac metastasis from a transitional cell carcinoma: a case report.
We present a case in which the clear identification of the primary tumour and cardiac metastasis altered the surgical management and avoided a high-risk anaesthetic.
Electrocardiographic markers of cardiac metastasis.
21) Cardiac metastasis is typically associated with widely disseminated disease.
Cardiac metastasis from a Merkel cell skin carcinoma: A case report.