A case of pulmonary vein tumor presenting as a left atrial mass.
Primary cardiac tumors are extremely rare and can originate within the heart or be the result of tumor spread from other sites. We report a female patient with a pulmonary vein tumor extending into the left atrium that had a suspicious primary malignant origin with a sacral metastatic carcinoma. The patient was admitted complaining of pain in her buttock area as a result of a sacral tumor. It was believed that the sacral tumor was a metastasis from the imaging study and clinical manifestation. The primary malignant origin was evaluated. The chest CT showed a left atrium thrombus-like lesion without a pulmonary abnormality. After a transesophageal echocardiogram, the patient was diagnosed with a pulmonary vein tumor extending to the left atrium. The patient was given palliative radiotherapy for the sacral pain. Initially, the clinical impression was a metastatic sacral tumor with a thromboembolism of the left atrium. However, this patient was finally diagnosed with a pulmonary vein tumor with a left atrium extension by a transesophageal echocardiogram.
Jeon
Hyo Keun
HK
Department of Internal Medicine, Gachon Medicine School and Science, Gil Medical Center, Incheon, Korea.
Kim
Jung Ho
JH
Cho
Gwon Hyun
GH
Kyung
Sun Young
SY
Jeong
Sung Hwan
SH
Chung
Wook Jin
WJ
Kim
Na Rae
NR
D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006325:Heart Atria / Q000473:pathology*; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D010166:Palliative Care; D011667:Pulmonary Veins / Q000473:pathology*; D012445:Sacrococcygeal Region / Q000473:pathology; D013923:Thromboembolism / Q000175:diagnosis; D019043:Vascular Neoplasms / Q000175:diagnosis* / Q000473:pathology