title: Extension of adrenocortical carcinoma into the right atrium--echocardiographic diagnosis: a case report.
abstract: BACKGROUND
  Adrenocortical carcinoma is a rare, highly malignant tumor. Cardiac involvement of the tumor is very rare. Echocardiography facilitates the evaluation of the cardiac involvement of the tumor.
  
  
  METHODS
  We describe a patient with an adrenal tumor. Transthoracic echo showed its extension into the right atrium. Accordingly, a combined abdominal and cardiac operation was performed, monitored by transesophageal echocardiography.
  
  
  CONCLUSIONS
  This case highlights the importance of echocardiography in revealing the cardiac involvement by this tumor and in planning the operative procedure.
authors.affiliation: The Heart Institute, E Wolfson Medical Center, Holon, Tel Aviv, Israel. rosenbo_99@yahoo.com
authors.forename: Boaz
authors.initials: B
authors.lastname: Rosen
authors.forename: Yoseph
authors.initials: Y
authors.lastname: Rozenman
authors.forename: David
authors.initials: D
authors.lastname: Harpaz
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D018268:Adrenocortical Carcinoma / Q000000981:diagnostic imaging* / Q000473:pathology; D000368:Aged; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000473:pathology; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D009361:Neoplasm Invasiveness; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000473:pathology