Key result
A 56-year-old woman with a history of stage IIA adenosquamous lung carcinoma developed a large intracardiac metastasis and passed away from supraventricular tachycardia progressing to cardiac arrest.
Case Report (n=1)
Highlights the diagnosis and multidisciplinary cardio-oncologic management of intracardiac metastasis from non-small cell lung cancer.
Cardiac metastasis should be considered in lung cancer patients with new dyspnea; hypothesis-generating for targeted imaging in survivors.
A 56-year-old female with history of stage IIA adenosquamous lung carcinoma treated 13 months prior to presentation with lobectomy, mediastinal lymph node dissection, and adjuvant chemotherapy, presented for several weeks of worsening dyspnea. Exam was non-focal aside from tachycardia. Computed tomography of the chest revealed a large 4 cm × 5 cm mass in the bilateral ventricular myocardium. There was also evidence of metastatic disease elsewhere in the body, including a supraclavicular lymph node that was positive for metastatic adenosquamous lung carcinoma. She started whole heart radiotherapy and was to commence chemotherapy but passed away. This report discusses important aspects of diagnosis of this not uncommon condition that many oncologists may come across. We also discuss differential diagnosis of an isolated intracardiac mass as first-diagnosis presentations, and discuss the great importance of multidisciplinary cardio-oncologic management and clinical prioritization.
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Verma et al. (2015) conducted a case report in Intracardiac metastasis from non-small cell lung cancer (n=1). Whole heart radiotherapy was evaluated on Clinical outcome. A 56-year-old woman with a history of stage IIA adenosquamous lung carcinoma developed a large intracardiac metastasis and passed away from supraventricular tachycardia progressing to cardiac arrest.
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