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September 29, 2023CureusOpen Access

Melanoma With Cardiac Metastasis

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Why the study?

Antemortem diagnosis of cardiac metastasis from melanoma has historically been uncommon, but improved imaging now allows early and accurate detection.

Population

A 36-year-old man with metastatic melanoma and cardiac masses presenting with CVA

Design

Case report

Key result

Immunotherapy with nivolumab and ipilimumab stabilized extensive cardiac metastases from malignant melanoma in a 36-year-old man presenting with stroke-like symptoms.

Authors

SKSruthi L KotaruJPJose Ricardo PoVTVikas Tatineni

Discussion

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Member takes

Overview

Supports potential role of immunotherapy in cardiac melanoma metastases; leaves open need for prospective validation.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
36-year-old Caucasian man with metastatic melanoma involving the heart (right and left ventricular masses) presenting with cardioembolic stroke
I
Intervention
Nivolumab and ipilimumab
O
Outcome
Stable cardiac metastasis without evidence of disease progression at 3 months

This case highlights the importance of multimodality imaging for the rare antemortem diagnosis of cardiac melanoma metastases and demonstrates the efficacy of targeted immunotherapy in achieving disease stability.

Cite This Study

Kotaru et al. (2023) conducted a case report in Melanoma with cardiac metastasis (n=1). Nivolumab and ipilimumab was evaluated. Immunotherapy with nivolumab and ipilimumab stabilized extensive cardiac metastases from malignant melanoma in a 36-year-old man presenting with stroke-like symptoms.

synapsesocial.com/papers/6a1c049bb33628da419d1df7https://doi.org/10.7759/cureus.46230
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac metastases of melanoma as first manifestation of the disease2014 · 14 citations
  2. 2Cardiac metastases from malignant melanoma1999 · 91 citations
  3. 3Metastatic Melanoma Presenting as a Ventricular Arrhythmia2020 · 5 citations
  4. 4Cardiac metastasis of malignant melanoma: a case report2013 · 19 citations
  5. 5Malignant melanoma with cardiac involvement: a case report and literature review2026