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Cardiac mass in a patient with sigmoid adenocarcinoma: a metastasis?
MedLine Citation:
PMID:  22915057     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Cardiac metastasis from a bowel malignancy seldom occurs and there is a limited number of case reports published on this subject. Although colorectal cancer is the third commonest malignancy in Malaysia, the incidence of cardiac metastasis has never been reported. We report a case of an elderly man with recently diagnosed adenocarcinoma of the sigmoid colon, who presented with congestive cardiac failure secondary to mechanical obstruction by a right atrial mass. The intractable shock led to his sudden death before any intervention could be planned. If an intra-cavity cardiac mass is detected in a patient with an underlying metastatic malignancy, cardiac metastasis should be suspected. However, primary cardiac tumour or thrombus could also be the differential diagnosis. In our case, the definitive cardiac pathology remained unsolved as an autopsy was refused.
Authors:
H A Ngow; W M Wan Khairina
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Publication Detail:
Type:  Journal Article     Date:  2012-08-12
Journal Detail:
Title:  Cardiovascular journal of Africa     Volume:  23     ISSN:  1680-0745     ISO Abbreviation:  Cardiovasc J Afr     Publication Date:  2012  
Date Detail:
Created Date:  2012-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101313864     Medline TA:  Cardiovasc J Afr     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  e10-2     Citation Subset:  IM    
Affiliation:
Department of Medicine, International Islamic University Malaysia, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia.
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