title: [Metastatic thyroid cancer: sudden death following aclarubicin therapy].
abstract: We report on a 62-year-old patient with a metastasising, only poorly differentiated follicular thyroid carcinoma, who was subjected postoperatively to chemotherapy with Aclarubicin. Aclarubicin (Aclaplastin) is a new cytostatic agent, from the group of anthracyclines, with fewer side effects and clearly diminished cardiotoxicity. The patient died suddenly after two treatment cycles with clinical symptoms of cardiac insufficiency; the post-mortem examination, however, revealed that two metastases in the myocardium might have been the cause of death; toxic myocardial damage could be excluded histologically. Upon occurrence of cardial symptoms and signs during therapy with cytostatic agents of thyroid carcinoma with Aclarubicin, whose cardiotoxic side effects are known, the possibility of metastatic spread in the myocardium should, nevertheless, also always be considered in the differential diagnosis.
authors.affiliation: Interne Abteilung, Barmherzige Brüder Graz-Eggenberg.
authors.forename: W
authors.initials: W
authors.lastname: Langsteger
authors.forename: P
authors.initials: P
authors.lastname: Lind
authors.forename: A
authors.initials: A
authors.lastname: Beham
authors.forename: G
authors.initials: G
authors.lastname: Klima
authors.forename: B
authors.initials: B
authors.lastname: Eber
authors.forename: P
authors.initials: P
authors.lastname: Költringer
authors.forename: O
authors.initials: O
authors.lastname: Eber
mesh_terms: D015250:Aclarubicin / Q000009:adverse effects* / Q000627:therapeutic use; D000230:Adenocarcinoma / Q000188:drug therapy / Q000473:pathology / Q000556:secondary*; D003645:Death, Sudden / Q000473:pathology*; D006338:Heart Neoplasms / Q000556:secondary*; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013964:Thyroid Neoplasms / Q000188:drug therapy* / Q000473:pathology
chemical_list: D015250:Aclarubicin
vernacular_title: Metastasierendes Schilddrüsenkarzinom: Plötzlicher Herztod nach Aclarubicin-Therapie.