Squamous cell metastasis from the tongue to the myocardium presenting as pericardial effusion
Cardiac metastasis from head and neck cancer is rarely encountered. We present a base-of-tongue squamous cell carcinoma with metastasis to the heart that was diagnosed antemortem. Autopsy series indicate that tongue cancer may metastasize more frequently to the heart than from other head and neck si...
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Veröffentlicht in: | Otolaryngology-head and neck surgery 1999-04, Vol.120 (4), p.593-595 |
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creator | RIVKIN, ALEXANDER MEARA, JOHN G LI, KASEY K POTTER, CHRISTIAN WENOKUR, RANDALL |
description | Cardiac metastasis from head and neck cancer is rarely encountered. We present a base-of-tongue squamous cell carcinoma with metastasis to the heart that was diagnosed antemortem. Autopsy series indicate that tongue cancer may metastasize more frequently to the heart than from other head and neck sites. However, none of these studies was controlled. Most importantly, cardiac metastasis should be suspected in any patient with cancer in whom new cardiac symptoms develop. The diagnosis is best confirmed with two-dimensional echocardiography or cardiac MRI. A myocardial or endocardial biopsy specimen can be obtained with angiographic guidance. Despite the improvement in diagnostic capability, available treatments are only palliative. All patients eventually die of their metastatic disease. |
doi_str_mv | 10.1053/hn.1999.v120.a84489 |
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We present a base-of-tongue squamous cell carcinoma with metastasis to the heart that was diagnosed antemortem. Autopsy series indicate that tongue cancer may metastasize more frequently to the heart than from other head and neck sites. However, none of these studies was controlled. Most importantly, cardiac metastasis should be suspected in any patient with cancer in whom new cardiac symptoms develop. The diagnosis is best confirmed with two-dimensional echocardiography or cardiac MRI. A myocardial or endocardial biopsy specimen can be obtained with angiographic guidance. Despite the improvement in diagnostic capability, available treatments are only palliative. 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source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SAGE Complete; Alma/SFX Local Collection |
subjects | Biopsy, Needle Carcinoma, Squamous Cell - diagnosis Carcinoma, Squamous Cell - secondary Echocardiography Heart Neoplasms - diagnosis Heart Neoplasms - secondary Humans Magnetic Resonance Imaging Male Middle Aged Pericardial Effusion - etiology Tongue Neoplasms - pathology |
title | Squamous cell metastasis from the tongue to the myocardium presenting as pericardial effusion |
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