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Rapidly growing cardiac tumour in the right ventricle
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  1. Adam Daana Niku1,
  2. Will Ryoe Takakura1,
  3. Robert Siegel2,
  4. Florian Rader2
  1. 1Department of Medicine, Cedars-Sinai Health System, Los Angeles, California, USA
  2. 2Cedars-Sinai Heart Institute, Los Angeles, California, USA
  1. Correspondence to Dr Adam Daana Niku, adamniku{at}gmail.com

https://doi.org/10.1136/bcr-2018-226578

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    Description 

    A 77-year-old man with a history of Her2 negative, pancytokeratin-positive gastric cancer and synchronous grade 3a stage 2a follicular lymphoma (FLIPI score 3 at presentation) treated with chemotherapy was referred for transthoracic echocardiography (TTE) after a CT of the abdomen demonstrated an incidental low-density lesion in the right ventricle (RV) concerning for malignancy or thrombus. There was no mass present on TTE 2 months prior. Repeat TTE (figure 1) demonstrated a large echogenic mass causing right ventricular inflow and outflow tract (RVOT) obstruction. A cardiac MRI (figure 2) confirmed the presence of a heterogeneous mass with adherent superficial thrombus in the RV and extending into the RVOT, consistent in appearance with a tumour. On further review, a PET/CT performed 1 month prior to presentation showed a hypermetabolic node at the RV apex …

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