Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium
| Autor: | Mahendrakar Skm, Azizullah Hafizullah Khan, Ladhani Ss, Yunus Shafi Loya, Harpreet Singh Sandhu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Clinical Biochemistry lcsh:Medicine Oncology Section 030204 cardiovascular system & hematology Metastasis 03 medical and health sciences 0302 clinical medicine Superior vena cava medicine Carcinoma Pericardium cardiovascular diseases Tricuspid valve Superior vena cava syndrome business.industry superior vena cava syndrome lcsh:R General Medicine medicine.disease right atrial mass Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis cardiovascular system Radiology cardiac metastasis medicine.symptom Breast carcinoma business Subclavian vein |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 11, Iss 7, Pp XD03-XD05 (2017) |
| Popis: | Breast carcinoma is the most common invasive cancer in women worldwide. It metastasizes commonly to bone, lungs, regional lymph nodes and brain. Cardiac metastasis of lung and breast cancers is a known but rare complication of advanced disease with tumour metastasising to pericardium via the locoregional lymphatic system. Here we present a case of 59-year-old female presenting with right upper limb oedema, facial puffiness and features of Superior Vena Cava (SVC) syndrome 15 years after mastectomy and adjuvant chemotherapy, radiotherapy for carcinoma of the right breast. Further evaluation revealed extensive thrombus invading the right internal jugular vein, subclavian vein, SVC with intraluminal extension into right atrium causing ball in a loop obstruction at tricuspid valve. Whole body Positron emission tomography scan confirmed the diagnosis of extensive metastatic disease and patient was managed on palliative therapy. Haematogenous spread and intraluminal growth of metastatic deposits from breast carcinoma 15 years ago is rare and clinical presentation as SVC obstruction has not been reported in our review of literature. |
| Databáze: | OpenAIRE |
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