You are here

Home » Content

Meme kanserli hastada kalp metastazı ile saptanan küçük hücreli dışı akciğer kanseri: olgu sunumu

Non-small cell lung cancer diagnosed with the aid of cardiac metastasis in a breast cancer patient: a case report

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Cardiac metastases due to malignities are rare. They are usually diagnosed as a finding of aggressive tumors and advanced stage disease, and frequently in autopsy series. We herein present a case of non-small cell lung cancer diagnosed with the aid of cardiac metastasis in a breast cancer patient in remission. A 73-year-old female patient who had had a diagnosis of bilateral breast cancer admitted with dyspnea 19 years after the last diagnosis. A mass lesion in left lower lobe of the lung, pleural effusion and minimal pericardial effusion were detected with ultrasonography and computed tomography. Surgical resection, and morphological and immunohistochemical examination of the mass in left atrium revealed the metastasis of non-small cell lung cancer, and systemic chemotherapy was started. The case is interesting since a lung carcinoma with cardiac metastasis was detected at the time of diagnosis in a patient who had previously had two primary breast cancers. Probability of cardiac metastasis should be considered in cancer patients with cardiac symptoms.
Bookmark/Search this post with
Abstract (Original Language): 
Malignitelere bağlı kalp metastazları nadir görülür. Genellikle agresif tümörlerin ve ileri evre hastalığın bir bulgusu olarak ve sıklıkla otopsi serilerinde saptanmaktadır. Burada, meme kanseri nedeniyle hastalıksız izlemde olan, kalp metastazı ile tanı konulan bir akciğer küçük hücre dışı karsinom olgusu sunulmuştur. Yetmiş üç yaşında bilateral meme kanseri tanısı olan kadın hasta, son tanıdan 19 yıl sonra nefes darlığı yakınması ile başvurdu. Ultrasonografi ve bilgisayarlı tomografi ile sol akciğer alt lobda kitle lezyonu, plevral efüzyon ve minimal perikardiyal efüzyon saptandı. Sol atriyumdaki kitlenin cerrahi olarak rezeksiyonu sonrası morfolojik ve immünohistokimyasal incelemede küçük hücre dışı akciğer karsinomunun metastazı tanısı konuldu ve sistemik kemoterapiye başlandı. Olgu, daha önceden iki primer meme kanseri olan hastada, tanı esnasında kalp metastazı saptanan bir akciğer karsinomu olması yönüyle ilginçtir. Özellikle kardiyak semptomları olan kanser hastalarında kalp metastazı olasılığı göz önünde bulundurulmalıdır.
FULL TEXT (PDF): 
PDF icon arastirmax-meme-kanserli-hastada-kalp-metastazi-ile-saptanan-kucuk-hucreli-disi-akciger-kanseri-olgu-sunumu.pdf
  • 2
131-133
  • Turkish

REFERENCES

References: 

Kaynaklar
1. Sarjeant JM, Butany J, Cusimano RJ. Cancer of the heart.
Epidemiology and management of primary tumors and
metastases. Am J Cardiovasc Drugs 2003; 3: 407-421.
2. Abraham DP, Reddy V, Gattusa P. Neoplasms metastatic
to the heart: review of 3314 consecutive autopsies. Am J
Cardiovasc Pathol 1990; 3: 195-198.
3. Rafajlovski S, Tatic V, Ilic S, Kanjuh V. Frequency of
metastatic tumors in the heart. Vojnosanit Perql 2005;
62: 915-920.
4. Catton C. The management of malignant cardiac
tumors: clinical considerations. Semin Diagn Pathol
2008; 25: 69-75.
5. Lam KY, Dickens P, Chan AC. Tumors of the heart. A
20-year experience with a review of 12,485 consecutive
autopsies. Arch Pathol Lab Med 1993; 117: 1027-1031.
6. Karagoz B, Bilgi O, Haholu A, Kardesoglu E, Türken O,
Kandemir EG. Cardiac metastasis of thyroid cancer. Eur
J Gen Med 2009; 6: 55-56.
7. Altun G, Bilgi S, Altun A. Sudden death due to cardiac
tamponade caused by metastasis of squamous cell
carcinoma of the lung. Cardiology 2005; 103: 53-54.
8. Kasai T, Kishi K, Kawabata M, Narui K, Momomura
S, Yoshimura K. Cardiac metastasis from lung
adenocarcinoma causing atrioventricular block and left
ventricular outflow tract obstruction. Chest 2007; 131:
1569-1572.
9. Moldvay J, Jackel M, Bogos K, et al. The role of TTF-
1 in differentiating primary and metastatic lung
adenocarcinomas. Pathol Oncol Res 2004; 10: 85-88.
10. Su YC, Hsu YC, Chai CY. Role of TTF-1, CK20, and CK7
immunohistochemistry for diagnosis of primary and
secondary lung adenocarcinoma. Kaohsiung J Med Sci
2006; 22: 14-1

Thank you for copying data from http://www.arastirmax.com