Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1397
12
1
gregorian
2019
3
1
10
2
online
1
fulltext
en
Right ventricular metastasis from unclassified Renal Cell Carcinoma
Oncology
Oncology
case report
case report
<span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#0000FF;"><strong><em>Background</em></strong><em>:</em></span> Cardiac metastasis of unclassified renal cell carcinoma (RCC) subtype is very rare, and even more so is an isolated right ventricular (RV) metastasis without vena cava extension or right atrial involvement. To the best of our knowledge, this is the first report of a cardiac metastasis of an unclassified RCC (an aggressive RCC) without vena cava extension.<br>
<span style="color:#0000FF;"><strong><em>Case Presentation</em></strong><em>:</em></span> A 61-year-old African American male with past medical history of hypertension and schizophrenia presented to the emergency room following 2 episodes of syncope and 3-month history of progressive neck mass. CT scan of neck, abdomen and pelvis showed bulky left cervical, supraclavicular and axillary lymph node, mass in anterior aspect of heart, and multiple solid left renal masses and probable right renal mass. Echocardiogram revealed a large RV mass with deformation of the RV free wall suggesting malignant growth. Core biopsy of the right superficial gluteal mass revealed a metastatic poorly differentiated carcinoma of likely renal origin, with a possibility of an unclassified RCC. Due to the extent and burden of metastasis, patient and family members agreed to conservative management and evaluation for hospice care.<br>
<span style="color:#0000FF;"><strong><em>Conclusion</em></strong><em>:</em></span> Cardiac metastasis of unclassified RCC is rare, and even more so is an isolated RV metastasis without vena cava extension or right atrial involvement, and the present case, to the best of knowledge is the first of such rare presentation.</span></span><br>
Cardiac tumor, metastasis, right ventricular mass, unclassified renal cell carcinoma
235
238
http://caspjim.com/browse.php?a_code=A-10-1131-1&slc_lang=en&sid=1
Oluwaseun
Akinseye
oakinsey@uthsc.edu
100319475328460016866
100319475328460016866
No
Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Devarshi
Ardeshna
dardesh2@uthsc.edu
100319475328460016867
100319475328460016867
No
Department of Medicine, University of Tennessee College of Medicine, Memphis, Tennessee, USA
Meron
Teshome
mteshome@uthsc.edu
100319475328460016868
100319475328460016868
No
Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Shadwan
Alsafwah
salsafwa@uthsc.edu
100319475328460016869
100319475328460016869
Yes
Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA