[Diagnosis of a metastatic valvular tumor in a living patient]
| Autor: | C, Pulcini, F, Vandenbos, E, Bernard, S, Roth, J-P, Elbeze, B, Dunais, F, Peyrade, P, Dellamonica |
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| Jazyk: | francouzština |
| Rok vydání: | 2003 |
| Předmět: |
Male
Antimetabolites Antineoplastic Endocarditis Bacterial Middle Aged Prognosis Magnetic Resonance Imaging Brain Ischemia Diagnosis Differential Heart Neoplasms Paresis Otorhinolaryngologic Neoplasms Chemotherapy Adjuvant Antineoplastic Combined Chemotherapy Protocols Carcinoma Squamous Cell Vertigo Humans Mitral Valve Fluorouracil Cisplatin Confusion Echocardiography Transesophageal |
| Zdroj: | La Revue de medecine interne. 24(5) |
| ISSN: | 0248-8663 |
| Popis: | The discovery of an endocardial mass always raises the question of its nature. Infectious endocarditis is the most frequent cause, but others diagnoses must be considered.We report a case of endocardial metastasis originating from an upper respiratory tract epidermoid carcinoma in a 48-years-old man. The diagnosis was established while the patient was alive, and survival at the time of writing is 8 months. This case report provides an opportunity for discussion of the differential diagnosis when confronted with an endocardial tumor, i.e. bacterial endocarditis, non-bacterial thrombotic endocarditis, primary cardiac tumors, metastatic osteogenic sarcoma and Libman-Sachs endocarditis.Non bacterial thrombotic endocarditis and valvular metastasis should be considered upon discovery of a valvular tumor, in the context of neoplastic disease. The prognosis of endocardial metastasis is poor, but early diagnosis and appropriate management should eventually prolong survival. |
| Databáze: | OpenAIRE |
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