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Journals / Ege Tıp Dergisi / 2016 / Cilt: 55 - Sayı: 3

PET/BT ve ekokardiografi ile tanı konan küçük hücreli akciğer kanserinin kardiyak metastazı

Cardiac metastasis of small cell lung cancer diagnosed with PET/CT and echocardiography

Fırat UYGUR
Hakan TANRIVERDİ
BÜLENT ALTINSOY
Fatma ERBAY
Ziyaeddin AKTOP
Meltem TOR
Pages
149–151
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This case shows that intracardiac metastases of malignant tumors can be seen without local invasion, and FDG PET/CT can be a useful diagnostic tool in evaluation of intracardiac metastasis

📌 3 Key Takeaways

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Objective & Hypothesis:Cardiac metastases of malignant tumors occur more frequently than primary tumors of the heart.
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Key Findings & Data:Local invasion of the pericardium and heart is commonly seen in primary lung cancer, but myocardial metastasis without local invasion rarely occurs. 18-F fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) is widely used in the diagnostic evaluation and staging of different malignant tumors, but the FDG uptake of myocardium is intense and heterogeneous.
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Conclusion & Impact:This case shows that intracardiac metastases of malignant tumors can be seen without local invasion, and FDG PET/CT can be a useful diagnostic tool in evaluation of intracardiac metastasis
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Cardiac metastases of malignant tumors occur more frequently than primary tumors of the heart. Local invasion of the pericardium and heart is commonly seen in primary lung cancer, but myocardial metastasis without local invasion rarely occurs. 18-F fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) is widely used in the diagnostic evaluation and staging of different malignant tumors, but the FDG uptake of myocardium is intense and heterogeneous. A-55-year old male smoker was diagnosed with small cell lung cancer (SCLC) by bronchoscopic biopsy, and FDG PET/CT showed high FDG uptake in myocardium. Transthoracic echocardiagraphy revealed mass like lesions in the apical regions of both ventricules. After systematic evaluation of imaging studies, the mass was diagnosed as intracardiac metastasis of SCLC and histopathologic examination. This case shows that intracardiac metastases of malignant tumors can be seen without local invasion, and FDG PET/CT can be a useful diagnostic tool in evaluation of intracardiac metastasis

Özet

Malign tümörlerin kardiyak metastazları kalbin primer tümörlerinden daha sık görülür. Primer akciğer kanserlerinde kalbin ve perikardın lokal invazyonu sık görülür ancak lokal invazyon olmadan myokard tutulumu nadirdir. FDG PET/BT malign tümörlerin tanısal değerlendirmesinde ve evrelemesinde yaygın olarak kullanılmaktadır, ancak myokardın FDG tutulumu oldukça yoğun ve heterojendir. Bronkoskopik biyopsi ile küçük hücreli akciğer kanseri tanısı alan 55 yaşında erkek hastanın PET BT incelemesinde myokartta yoğun FDG tutulumu saptandı. Transtorasik ekokardiyografide her iki ventrikül apeksinde kitle benzeri lezyon tespit edildi. Klinik, radyolojik ve ekokardiyografik bulgularla küçük hücreli akciğer kanserinin kardiyak metastazı olarak kabul edildi ve histopatolojik incelemeye gerek görülmedi. Malign tümörlerin kardiyak metastazlarının lokal invazyon olmadan da görülebileceği ve PET BT’ nin kardiyak metastaz tanısında kullanılabileceğini göstermek için bu vakayı sunmak istedik.

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Cite This Article

UYGUR, F., TANRIVERDİ, H., ALTINSOY, B., ERBAY, F., AKTOP, Z., TOR, M. (2016). PET/BT ve ekokardiografi ile tanı konan küçük hücreli akciğer kanserinin kardiyak metastazı. Ege Tıp Dergisi, Cilt: 55 - Sayı: 3, 149–151. https://ajindex.com/articles/222717

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References (7)

  1. Bussani R, De-Giorgio F, Abbate A, Silvestri F. Cardiac metastases. J Clin Pathol 2007;60(1):27-34
  2. Smith C. Tumors of the heart. Arch Pathol Lab Med 1986;110(5):371-4
  3. Tsai MS, Ko PC, Shih JY, et al. Cardiac involvement in malignancies. Case 1. Favorable outcome of a patient with cardiac invasion from non-small-cell lung carcinoma. J Clin Oncol 2004; 22(13):2740-2
  4. Stefka J, Cleveland JC, Lucia MS, Singh M. Sarcomatoid intracardiac metastasis of a testicular germ cell tumor closely resembling primary cardiac sarcoma. Hum Pathol 2003;34(10):1074-7
  5. Chiles C, Woodard PK, Gutierrez FR, Link KM. Metastatic involvement of the heart and pericardium: CT and MR imaging. Radiographics 2001;21(2):439-49
  6. Butany J, Nair V, Naseemuddin A, Nair GM, Catton C, Yau T. Cardiac tumours: Diagnosis and management. Lancet Oncol 2005;6(4):219-28 7. Orcurto MV, Delaloye AB, Letovanec I, Martinis Favre M, Prior JO. Detection of an asymptomatic right-ventricle cardiac metastasis from a small-cell lung cancer by F-18-FDG PET/CT. J Thorac Oncol 2009; 4(1):127-30
  7. Kim JH, Jung JY, Park YI, et al. Non-small cell lung cancer initially presenting with intracardiac metastasis. Korean J Intern Med 2005;20(1):86-9 9. Power D, Murphy C, Shaw C, McCaffrey J. Symptomatic intracardiac metastasis complicating non-small cell lung cancer: Imaging findings and clinical course. Ir J Med Sci 2011;180(2):561-3.