title: Recurrence of a Thymic Carcinoid Tumour 15 Years After Resection With Multiple Myopericardial Cardiac Metastases: The Role of Multimodality Imaging.
abstract: Carcinoid tumours arising from the thymus are exceedingly rare, and cardiac metastases have not previously been described in the setting of a primary thymic carcinoid tumour. We present a patient with recurrence of a carcinoid tumour initially resected from the thymus 15 years earlier, with multiple cardiac metastases. These metastatic tumours were visualized using multiple imaging modalities, including computed tomography, transthoracic echocardiogram, magnetic resonance imaging, and octreotide scan. A subsequent biopsy confirmed recurrence of his carcinoid tumour. This case highlights the role of multimodality imaging for diagnosis and the need for continued long-term surveillance in these patients.
authors: Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada.
authors: Steven
authors: S
authors: Promislow
authors: Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada.
authors: Alexander
authors: A
authors: Dick
authors: Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada.
authors: Atif
authors: A
authors: Alzahrani
authors: Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Ontario, Canada.
authors: Harman S
authors: HS
authors: Sekhon
authors: Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada.
authors: Ian G
authors: IG
authors: Burwash
authors: Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada. Electronic address: gdwivedi@ottawaheart.ca.
authors: Girish
authors: G
authors: Dwivedi
mesh_terms: D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage; D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery; D003907:Dexamethasone / Q000008:administration & dosage*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary; D006801:Humans; D000069451:Long Term Adverse Effects / Q000175:diagnosis / Q000473:pathology; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000473:pathology; D011878:Radiotherapy / Q000379:methods; D013934:Thymectomy / Q000009:adverse effects* / Q000379:methods; D013953:Thymus Neoplasms / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D018931:Antineoplastic Agents, Hormonal; D003907:Dexamethasone