title: Cardiac metastasis from a transitional cell carcinoma diagnosed by two-dimensional echocardiography.
abstract: We report a rare case of symptomatic cardiac metastasis from a transitional cell carcinoma of the renal pelvis. A 57-year-old man presented with severe anemia, inflammation, hypoxemia and disseminated intravascular coagulation. Computed tomography revealed a large tumor in the left renal pelvis with multiple lymph node metastases. Two-dimensional echocardiography revealed large tumors in the right ventricle. The patient suddenly died because of the obstructive mass of the right ventricular outflow tract. Histopathological examination showed high-grade transitional cell carcinoma in the left renal pelvis and the right ventricle. There are only three cases of cardiac metastases from a transitional cell carcinoma reported in the literature.
authors.affiliation: Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan. yskadono@med.kanazawa-u.ac.jp
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Kadono
authors.forename: Hajime
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Eiji
authors.initials: E
authors.lastname: Tajika
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000556:secondary*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D007682:Kidney Pelvis; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed