Article Text
Summary
Cardiac metastases from oral squamous cell carcinoma (SCC) are rare, especially in the absence of systemic metastasis. We describe a case of a patient presenting with chest pain and ECG abnormalities concerning for ST-elevation myocardial infarction that eventually was found to have an incidental right ventricular mass on chest CT angiogram. Ultimately, she had an intracardiac echocardiography-assisted biopsy diagnosis of isolated cardiac metastasis from primary oral SCC. The extent of the disease precluded any surgical intervention, and the patient subsequently transitioned to hospice care. Most cardiac metastases remain clinically silent until widespread systemic disease leads to death. Thus, cardiac metastasis should be considered in a patient with SCC who develops new cardiovascular symptoms or conduction abnormalities.
- cardiovascular medicine
- cancer - see oncology
- interventional cardiology
- radiology (diagnostics)
- clinical diagnostic tests
Statistics from Altmetric.com
Footnotes
Contributors HP involved with drafting, editing and revising the manuscript. MF involved with drafting and editing the manuscript. HS involved with drafting and editing the manuscript. ME-H involved with drafting and editing the manuscript. JS-M involved with drafting, editing and revising the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Not required.
Provenance and peer review Not commissioned; externally peer reviewed.