Key result
A transesophageal echocardiogram successfully identified compression of the inferior vena cava and a mass encompassing the right atrium in a patient with an ovarian low malignant potential tumor.
Case Report (n=1)
Transesophageal echocardiography is useful for diagnosing cardiac tumor thrombus in patients with ovarian tumors of low malignant potential who present with heart failure.
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Supports TEE for identifying cardiac compression in ovarian tumors with heart failure; hypothesis-generating and should not yet change practice.
BACKGROUND: Up to 20% of ovarian epithelial tumors are classified as being of low malignant potential. Most of these low malignant potential tumors are detected at an early stage and have an excellent prognosis. This is a report of a woman with cardiac metastasis from an ovarian low malignant potential tumor. CASE: This case describes a 53-year-old woman who presented with congestive heart failure and was found to have a recurrent stage III ovarian tumor of low malignant potential. A transesophageal echocardiogram revealed compression of the inferior vena cava and a mass encompassing the right atrium. Findings at autopsy confirmed a low malignant potential ovarian tumor thrombus involving the inferior vena cava and right atrium. CONCLUSION: Ovarian low malignant potential tumors can metastasize in an aggressive manner. A transesophageal echocardiogram may be useful when the diagnosis of cardiac tumor thrombus is considered.
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Jack Basil (1997) conducted a case report in Recurrent ovarian tumor with low malignant potential and cardiac metastasis (n=1). Transesophageal echocardiogram was evaluated on Diagnosis of cardiac tumor thrombus. A transesophageal echocardiogram successfully identified compression of the inferior vena cava and a mass encompassing the right atrium in a patient with an ovarian low malignant potential tumor.
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