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
Hauptverfasser: RIVKIN, ALEXANDER, MEARA, JOHN G, LI, KASEY K, POTTER, CHRISTIAN, WENOKUR, RANDALL
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container_issue 4
container_start_page 593
container_title Otolaryngology-head and neck surgery
container_volume 120
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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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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