Isolated Cardiac Metastasis from Squamous Cell Esophageal Cancer

Although heart metastases are uncommon and generally a sign of disseminated disease, they are up to 40 times more frequent than primary cancers of the heart, and typically arise from melanoma or primary mediastinal cancer, but also from lymphoma, breast cancer, esophageal cancer, and leukemia. They...

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Bibliographic Details
Published in:Tumori 2015-07, Vol.101 (4), p.118-121
Main Authors: Abbate, Maria Ida, Cicchiello, Federica, Canova, Stefania, Cortinovis, Diego, Mariani, Silvia, Maffini, Fausto, Bidoli, Paolo
Format: Article
Language:English
Subjects:
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - therapy
Chemotherapy, Adjuvant
Cytoreduction Surgical Procedures
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - pathology
Esophageal Neoplasms - therapy
Fatal Outcome
Heart Neoplasms - diagnosis
Heart Neoplasms - secondary
Heart Neoplasms - therapy
Humans
Incidental Findings
Jejunal Neoplasms - diagnosis
Jejunal Neoplasms - secondary
Jejunal Neoplasms - therapy
Male
Middle Aged
Patient Care Team
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Summary:Although heart metastases are uncommon and generally a sign of disseminated disease, they are up to 40 times more frequent than primary cancers of the heart, and typically arise from melanoma or primary mediastinal cancer, but also from lymphoma, breast cancer, esophageal cancer, and leukemia. They are usually asymptomatic and found only at autopsy. Symptomatic patients generally die within a few weeks of diagnosis and usual treatments are chemotherapy, radiotherapy, or both. Surgical resection is recommended only for a single lesion, which is rare. We describe a 49-year-old man treated for squamous cell cancer of the esophagus in whom a single asymptomatic left heart metastasis was discovered incidentally during follow-up. The lesion was debulked surgically and multimodal treatment followed. The patient survived 1 year after diagnosis with good performance status during which time no other lesion was discovered. Cardiac metastasis is challenging and necessitates skilled multidisciplinary management to maximize the clinical outcome.
ISSN:0300-8916
2038-2529
DOI:10.5301/tj.5000324