title: Cardiac mass in a patient with colorectal cancer: "Not all that glitters is gold!".
abstract: When performing echocardiography in a 74-year-old woman admitted with non ST elevation myocardial infarction and concomitant colorectal cancer (CC), a dense calcification of the mitral annulus was detected. Differential diagnosis between secondary metastasis and other etiologies of cardiac masses was essential for staging and therapeutic decision-making. Multimodality imaging with echocardiography alongside a computed tomography scan and cardiac magnetic resonance was crucial for the final diagnosis of caseous calcification of the mitral annulus (CCMA). CCMA is briefly reviewed and some possible explanations for the previously undescribed association of CC with CCMA are suggested.
authors.affiliation: Rui Providência, Ana Botelho, Paula Mota, António Leitão-Marques, Department of Cardiology, Coimbra's Hospital Center, Coimbra, 3041-801, Portugal.
authors.forename: Rui
authors.initials: R
authors.lastname: Providência
authors.forename: Ana
authors.initials: A
authors.lastname: Botelho
authors.forename: Paula
authors.initials: P
authors.lastname: Mota
authors.forename: Rui
authors.initials: R
authors.lastname: Catarino
authors.forename: António
authors.initials: A
authors.lastname: Leitão-Marques