title: Double primary cancers: intrahepatic cholangiocarcinoma with myocardial metastases and lung squamous cell carcinoma.
abstract: We herein present a rare case of myocardial metastases from intrahepatic cholangiocarcinoma. The patient was a 68-year-old man diagnosed with stage IVb intrahepatic cholangiocarcinoma. Growing low-density nodules at the cardiac interventricular septum and the left lateral wall were found on contrast enhanced computed tomography (CECT). He died and an autopsy was performed. Intrahepatic cholangiocarcinoma was found to have metastasized to the myocardium, and these myocardial metastases conformed to the low-density nodules detected on CECT. A hilar nodule in the lung was revealed to be lung squamous cell carcinoma. This was a rare case of intrahepatic cholangiocarcinoma with myocardial metastases and lung squamous cell carcinoma.
authors.affiliation: Department of Internal Medicine, Osaka Red Cross Hospital, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Murakami
authors.forename: Hiroki
authors.initials: H
authors.lastname: Nishikawa
authors.forename: Yorimitsu
authors.initials: Y
authors.lastname: Koshikawa
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Okabe
authors.forename: Tomoko
authors.initials: T
authors.lastname: Wakasa
authors.forename: Yukio
authors.initials: Y
authors.lastname: Osaki
mesh_terms: D000368:Aged; D001344:Autopsy; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000473:pathology*; D001653:Bile Ducts, Intrahepatic; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology*; D018281:Cholangiocarcinoma / Q000175:diagnosis / Q000556:secondary*; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology*; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed