Solitary atrial metastases: a rare clinical challenge.
This case describes a 55-year-old lady presenting with lethargy, migraines and a cardiac mass on a background history of breast cancer. She had been treated initially with a mastectomy, axillary node clearance, reconstruction and hormone manipulation followed by chemotherapy and high dose radiotherapy for an isolated supraclavicular metastases. She was disease free for 5 years when she complained of lethargy and migraines. A CT confirmed an isolated cardiac lesion, confirmed on echocardiogram A percutaneous atrial biopsy revealed an atrial metastases from breast carcinoma. She was treated with chemotherapy achieving a good response but was still deemed inoperable after treatment. She currently is receiving letrozole.
Department of Clinical Oncology, Southend University Hospital NHS Trust, Prittlewell, Southend-on-sea, UK. eminowicz@doctors.org.uk
Gemma
G
Eminowicz
Katerina
K
Achilleos
Simon
S
Payne
John
J
Davies
Anne
A
Robinson
D001943:Breast Neoplasms / Q000473:pathology*; D018270:Carcinoma, Ductal, Breast / Q000556:secondary*; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000556:secondary*; D006801:Humans; D008875:Middle Aged