Atrial metastasis detected by two-dimensional echocardiography

With recent improvements in therapeutic procedures and prolongation of survival, the incidence of cardiac metastasis is likely to increase. The aim of the current study was retrospectively to analyze cases of atrial metastases detected by echocardiography at our center. We report on a series of 10 p...

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Veröffentlicht in:Acta oncologica 2004-01, Vol.43 (1), p.87-90
Hauptverfasser: Bar-Sela, Gil, Arush, Myriam Weyl Ben, Reisner, Shimon, Lorber, Avraham, Haim, Nissim
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container_issue 1
container_start_page 87
container_title Acta oncologica
container_volume 43
creator Bar-Sela, Gil
Arush, Myriam Weyl Ben
Reisner, Shimon
Lorber, Avraham
Haim, Nissim
description With recent improvements in therapeutic procedures and prolongation of survival, the incidence of cardiac metastasis is likely to increase. The aim of the current study was retrospectively to analyze cases of atrial metastases detected by echocardiography at our center. We report on a series of 10 patients with various solid malignancies and secondary atrial involvement detected by echocardiography. Transesophageal and transthoracic echocardiographic studies were performed using an Acuson 128XP, Aspen or Sequoia (Mountain View CA). Seven patients had cardiac symptoms at the time of diagnosis of atrial metastasis. After diagnosis, therapy included surgery, chemotherapy or radiotherapy. Echocardiography was also used in monitoring response to therapy. One patient with Wilms' tumor has remained free of disease for 50+ months and a patient with Kaposi's sarcoma is alive with disease 20+ months after diagnosis. The remaining eight patients died with disease 3-24 months after being diagnosed with atrial metastasis. Atrial metastases can be diagnosed in patients without cardiac symptoms, and is probably more prevalent than was previously recognized. Echocardiography is a useful diagnostic tool in detecting secondary atrial tumors.
doi_str_mv 10.1080/02841860310016910
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source Taylor & Francis; MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Age Distribution
Aged
Cohort Studies
Echocardiography
Female
Heart Atria - diagnostic imaging
Heart Atria - pathology
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - epidemiology
Heart Neoplasms - secondary
Humans
Incidence
Israel - epidemiology
Male
Middle Aged
Prognosis
Retrospective Studies
Risk Assessment
Sensitivity and Specificity
Sex Distribution
Survival Analysis
title Atrial metastasis detected by two-dimensional echocardiography
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