This case highlights the rare occurrence of a solitary myocardial metastasis from oesophageal cancer and the role of multimodality imaging and biopsy in its diagnosis.
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Solitary myocardial metastasis from esophageal cancer warrants biopsy confirmation; this case leaves open its true incidence and management.
Three years after surgical resection of oesophageal tumour, during the regular instrumental oncologic follow-up performed by thoracic computed tomography scan in an otherwise asymptomatic 48-year-old man, a left ventricular mass was detected. It developed during a 6-month-period, and at the time of discovery it measured 63 × 61 mm. The mass was further evaluated with echocardiography and cardiac magnetic resonance imaging, and a histology specimen was obtained by myocardial biopsy, revealing it was a metastasis from the primitive tumour, in the absence of other organ involvement. The diagnostic process and possible therapeutic options for solitary intracardiac metastasis in the absence of involvement of other organs are briefly discussed.
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Trocino et al. (2013) studied this question.
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