Cardiac metastasis of renal pelvic cancer.
A 66-year-old man was referred to our hospital with chest discomfort and shortness of breath. Seven months previously he had undergone a laparoscopic left nephroureterectomy for a left renal pelvic tumor and was given two cycles of adjuvant chemotherapy (methotrexate, epirubicin and cisplatin). Echocardiogram showed an 8-mm sized mass extending from the right atrium into the right ventricle. On computed tomography, multiple lung tumors, as well as the right atrial and ventricular mass, were seen. The patient died of acute heart failure caused by right ventricular outflow obstruction. On autopsy, a right atrial and ventricular metastasis of the initial transitional cell carcinoma was found. The patient's cause of death was acute heart failure as a result of cardiac metastasis of his initial renal pelvic carcinoma.
Murakami
Takayuki
T
Department of Urology, Yokohama Minami Kyousai Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. t-murazo@wb3.so-net.ne.jp
Komiya
Atsushi
A
Mikata
Kunihisa
K
Kaneko
Shigeki
S
Ikeda
Ichiro
I
D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D007682:Kidney Pelvis; D010535:Laparoscopy; D008297:Male; D009392:Nephrectomy / Q000379:methods; D014057:Tomography, X-Ray Computed