Intracardiac metastasis of a Malignant Mixed Mullerian tumor (MMMT): progressive dyspnoea due to obstruction of the left atrium and the left ventricle without left ventricular dysfunction or primary lung disease.

Autor: Ulbricht LJ; Department of Cardiology, Marienhospital Bottrop, Bottrop, Germany. L.J.Ulbricht@web.de, Kunert M, Gremmler B, Evagelopoulos N, Krian A, Moege J
Jazyk: angličtina
Zdroj: Wiener medizinische Wochenschrift (1946) [Wien Med Wochenschr] 2009; Vol. 159 (13-14), pp. 355-8.
DOI: 10.1007/s10354-009-0698-0
Abstrakt: Malignant Mixed Mullerian tumors (MMMT) are rare gynecological tumors. Even with surgical treatment, chemotherapy, and/or radiotherapy, outcome is poor. MMMTs are known to metastasize to the liver, the abdomen, and the lungs. One case of an ocular metastasis has been reported. In a 61-year-old female patient who had undergone surgical resection of a Mullerian tumor of the uterus 26 months prior to being admitted to our department, we found an obstructing left atrial mass. Histopathologic assessment of this lesion after surgical resection revealed a Mullerian tumor metastasis. Immediately after surgery, the patient was asymptomatic, but was readmitted 4 months later with dyspnoea. Echocardiography and CT revealed new masses in the left atrium and left ventricle. On a literature review, we did not find any description of left atrial and left ventricular occluding metastases of MMMT.
Databáze: MEDLINE