Open AccessCarcinoma of unknown primary presenting as large right atrial and ventricular mass secondary to disseminated tumor thrombosis
Author(s) -
Prashanth Panduranga,
Zahid Kazmi,
Najib Al-Rawahi,
Zulfikar Habibulla,
Nabil Al-Lawati,
Faiza Al-Kindi
Publication year - 2014
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/1995-705x.137506
Subject(s) - medicine , supraclavicular lymph nodes , thrombosis , radiology , pulmonary embolism , carcinoma , lymph node , presentation (obstetrics) , primary tumor , cardiology , pathology , cancer , metastasis
We report a 65-year-old male patient who presented with right heart failure and a large mobile right atrial and ventricular mass on echocardiography. His computed tomography demonstrated bilateral supraclavicular/mediastinal lymphadenopathy, right atrial and ventricular mass with right pulmonary artery segmental embolism, and multiple liver hypodense lesions. His tumor markers were negative. However, fine-needle aspiration cytology of supraclavicular lymph node revealed metastatic carcinoma suggestive of squamous cell carcinoma. He was suspected to have carcinoma of unknown primary origin. This case illustrates a rare presentation of carcinoma of unknown primary origin with disseminated tumor thrombosis primarily manifesting in heart and other sites.