tumor em ventrículo direito em paciente com melanoma right ventricular tumor in a patient with melanoma
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2008
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Abstract
Os tumores primários cardíacos são infreqüentes; entretanto, as neoplasias metastáticas com acometimento do coração são mais comuns. Alguns tumores apresentam, em estudos post-mortem, implantes secundários cardíacos com freqüências que superam 50%. Esse comprometimento deve ser lembrado em pacientes com história de neoplasia, que apresentem distúrbios de condução, sopro, cardiomegalia ou arritmias. Relatar-se-á, a seguir, o caso de um homem de 39 anos, encaminhado por cansaço e dispnéia aos esforços. Ecocardiograma evidenciou grande massa tumoral em ventrículo direito. A história médica pregressa revelou antecedentes de melanoma e a avaliação complementar mostrou doença metastática para pulmões, coração e cérebro, com evolução a óbito. Os aspectos singulares do caso são a presença de uma grande massa no ventrículo direito de origem metastática, ilustrando um quadro clínico raro e de prognóstico reservado.
Primary tumors of the heart are not common. However, metastatic neoplasms affecting the heart are more commonly found. Postmortem studies have shown that some tumors have reported secondary cardiac implants to be over 50%. Such involvement is to be taken into account for patients with a history of neoplasm and who present conduction disorders, murmur, cardiomegaly or arrhythmia. This is to report the case of a 39-year-old man who had been referred due to fatigue and dyspnea on effort. Echocardiogram evidence showed large tumoral mass in right ventricle. Medical history showed previous melanoma; further evaluation showed metastasis to lungs, heart and brain. Outcome was death. The uniqueness in this case relies on the large metastatic mass in right ventricle, thus illustrating a rare clinical condition of guarded prognosis.
Primary tumors of the heart are not common. However, metastatic neoplasms affecting the heart are more commonly found. Postmortem studies have shown that some tumors have reported secondary cardiac implants to be over 50%. Such involvement is to be taken into account for patients with a history of neoplasm and who present conduction disorders, murmur, cardiomegaly or arrhythmia. This is to report the case of a 39-year-old man who had been referred due to fatigue and dyspnea on effort. Echocardiogram evidence showed large tumoral mass in right ventricle. Medical history showed previous melanoma; further evaluation showed metastasis to lungs, heart and brain. Outcome was death. The uniqueness in this case relies on the large metastatic mass in right ventricle, thus illustrating a rare clinical condition of guarded prognosis.
| Reference Key |
morais2008arquivostumor
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|---|---|
| Authors | ;Vinícius Daudt Morais;Flávio Dalbem;Krás Borges;Vicente Restelli |
| Journal | revista cubana de ciencias informáticas |
| Year | 2008 |
| DOI |
10.1590/S0066-782X2008001500012
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| URL | |
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