Cardiac metastasis from colorectal cancer： A case report

The heart is an unusual site of metastasis from any malignancy. We report a case of cardiac metastasis from colorectal cancer. A 70-year-old woman was referred with a presumptive diagnosis of sigmoid colon cancer with cardiac myxoma. Two-dimensional echocardiography showed a 4 cm x 4.5 cm mobile mas...

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Bibliographic Details
Published in:	World journal of gastroenterology : WJG Vol. 15; no. 21; pp. 2675 - 2678
Main Authors:	Choi, Pyong Wha, Kim, Chul Nam, Chang, Sun Hee, Chang, Woo Ik, Kim, Chang Young, Choi, Hyun Min
Format:	Journal Article
Language:	English
Published:	United States Department of Surgery,Ilsan Paik Hospital, Inje University College of Medicine,411-806, Goyang, South Korea%Department of Diagnostic Pathology, Ilsan Paik Hospital, Inje University College of Medicine, 411-806,Goyang, South Korea%Department of Chest Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 411-806, Goyang, South Korea%Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, 411-806,Goyang, South Korea 07-06-2009 The WJG Press and Baishideng
Subjects:	Aged Case Report Fatal Outcome Female Heart Atria - pathology Heart Neoplasms - diagnosis Heart Neoplasms - secondary Humans Myxoma - diagnosis Myxoma - pathology Sigmoid Neoplasms - diagnosis Sigmoid Neoplasms - pathology 大肠癌恶性肿瘤病例报告病理检查磁共振成像诊断测试超声心动图 Heart Atrial myxoma Cardiac metastasis Magnetic resonance imaging Colorectal cancer
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Summary:	The heart is an unusual site of metastasis from any malignancy. We report a case of cardiac metastasis from colorectal cancer. A 70-year-old woman was referred with a presumptive diagnosis of sigmoid colon cancer with cardiac myxoma. Two-dimensional echocardiography showed a 4 cm x 4.5 cm mobile mass on the lateral right atrial wall, and computed tomography revealed a low attenuated Iobulating mass in the right atrium. The patient underwent anterior resection for sigmoid colon cancer （T4N2）. Thereafter, she experienced progressive shortness of breath. Therefore, a cardiac operation was performed 2 wk after the colorectal operation. Histological examination revealed adenocarcinoma, which was identical to the primary lesion. Although two- dimensional echocardiography has become the diagnostic test of choice for detecting cardiac tumors, in patients with colorectal cancer showing a cardiac mass, further diagnostic evaluation such as a magnetic resonance imaging might be necessary.
Bibliography:	Heart Atrial myxoma Colorectalcancer Cardiac metastasis Magnetic resonance imaging 14-1219/R Q939.139 Q463 Heart; Cardiac metastasis; Colorectalcancer; Atrial myxoma; Magnetic resonance imaging ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Author contributions: Choi PW performed the colorectal surgery and wrote the manuscript; Kim CN contributed the clinical data; Chang SH interpreted the histological and immunohistochemical data; Chang WI and Kim CY performed the cardiac surgery and contributed the clinical data; Choi HM contributed to the clinical data and performed the physical examination. Correspondence to: Pyong Wha Choi, MD, Department of Surgery, Inje University College of Medicine, Ilsan Paik Hospital, 2240 Daehwa-dong, Ilsanseo-gu, Goyang-si, Gyeonggi-do, 411-806, Goyang, South Korea. eacechoi@hanmail.net Fax: +82-31-9107319 Telephone: +82-31-9107622
ISSN:	1007-9327 2219-2840
DOI:	10.3748/wjg.15.2675