What is the clinical evidence from this study?

Study design: Case Report. Population: Primary cardiac tumour (RVOT mass) with paraneoplastic manifestations (n=1).

What question did this study set out to answer?

This case aims to highlight the rarity and diagnostic challenges of primary cardiac tumours in children.

April 10, 2026Open Access

Rare Cardiac tumour unraveled by skin bleeds - A case report

Key Result

An 11-year-old boy presenting with paraneoplastic manifestations including ecchymotic swellings and altered coagulation parameters was diagnosed with a life-threatening right ventricular outflow tract mass.

Key Points

This case aims to highlight the rarity and diagnostic challenges of primary cardiac tumours in children.
Case report of an eleven-year-old boy with skin bleeds and altered coagulation.
Assessment of clinical manifestations and diagnostic imaging.
Monitoring of coagulation parameters throughout diagnosis.
Identification of a life-threatening right ventricular outflow tract mass.
Observation of ecchymotic swellings as paraneoplastic manifestations.
Highlighting the importance of a high index of suspicion for diagnosis.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

11-year-old boy presenting with paraneoplastic manifestations (ecchymotic swellings and altered coagulation parameters) due to a primary cardiac tumor in the right ventricular outflow tract (RVOT)

Highlights the rare presentation of a primary cardiac tumor in a pediatric patient mimicking noncardiac disease through paraneoplastic manifestations like skin bleeds.

Abstract

Primary cardiac tumours are extremely rare diagnostic entities.Their clinical manifestations are very variable and mimic both cardiac and noncardiac diseases.Hence clinical diagnosis remains as a challenge for any physician.So also tumours resulting in paraneoplastic syndromes are widely recognized and well understood.However such tumours as well as their paraneoplastic manifestations are not very common in paediatric practice.We report this extremely rare case in an eleven year old boy who presented with paraneoplastic manifestations in the form of ecchymotic swellings and altered coagulation parameters.Later it was proved to be due to a life threatening right ventricular outflow tract (RVOT) mass.A high index of suspicion is essential in the timely diagnosis and management of such patients.

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Discussion

Authors

Manju George Elenjickal

Jessy M M

Sushil Chandran

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References and Citations

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Discussion

Cite this study

Elenjickal et al. (Wed,) conducted a case report in Primary cardiac tumour (RVOT mass) with paraneoplastic manifestations (n=1). An 11-year-old boy presenting with paraneoplastic manifestations including ecchymotic swellings and altered coagulation parameters was diagnosed with a life-threatening right ventricular outflow tract mass.

synapsesocial.com/papers/69d8955f6c1944d70ce064d6 — DOI: https://doi.org/10.5005/pmj-11059-03_01_10

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Rare Cardiac tumour unraveled by skin bleeds - A case report

Key Result

Key Points

Study Design

Structured PICO

Abstract

Citation Network

Connected Papers

Discussion

Authors

Actions

References and Citations

Citation Network

Connected Papers

Discussion

Cite this study

Also consider