A patient with a massive single cardiac metastasis of lung adenocarcinoma, diagnosed via a biopsy

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Abstract

A patient with a history of lung adenocarcinoma was admitted because of palpitation. Transthoracic echo-cardiogram revealed a mass (74×42 mm) in the right ventricle. Computed tomography showed a tumor lesion in the right ventricular cavity but no other distant metastasis. Coronary angiography revealed well-developed small branches to the tumor. After right heart catheterization, a pathological analysis of a tumor biopsy demonstrated adenocarcinoma. We diagnosed the patient with right ventricular metastasis of lung cancer. With large cardiac metastasis, a tumor biopsy with a right heart catheter may help obtain a pathological diagnosis and also serve as a re-biopsy to confirm the gene mutation status.

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Oyakawa, T., Muraoka, N., Iida, K., Kusuhara, M., & Naito, T. (2018). A patient with a massive single cardiac metastasis of lung adenocarcinoma, diagnosed via a biopsy. Internal Medicine, 57(11), 1637–1640. https://doi.org/10.2169/internalmedicine.9893-17

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