AI Article Synopsis
- Cardiac metastases from urothelial carcinoma are uncommon and often go unnoticed, usually detected post-mortem or during routine check-ups.
- A 64-year-old man was found to have a mass in his heart during a routine exam for previously diagnosed urothelial cancer, despite being asymptomatic.
- After surgery to remove the mass, the patient experienced a rapid recurrence within 45 days, highlighting the aggressive nature of these metastases and the limitations of surgical intervention alone.
Article Abstract
Cardiac metastases of urothelial carcinoma are a rare manifestation, and most of them are asymptomatic or autoptic findings. We report a case of a 64-year-old Caucasian man fully asymptomatic, who has been accidentally diagnosed with a right atrial mass during his routine follow up for previous urothelial cancer. Endomyocardial biopsy, and histological examination of the mass were crucial to reach a definitive diagnosis of urothelial metastasis. He underwent a debulking surgery of the mass to avoid cardiac life-threatening complications. Despite effective removal of the atrial metastasis, after 45 days the patient experienced an ultra-rapid regrowth of the mass in the same position. This case demonstrates how rapidly a urothelial cardiac metastasis can grow back, and that surgery does not avoid by itself early recurrence.
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| http://dx.doi.org/10.1016/j.carpath.2021.107334 | DOI Listing |
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Article Synopsis
- Cardiac metastases from urothelial carcinoma are uncommon and often go unnoticed, usually detected post-mortem or during routine check-ups.
- A 64-year-old man was found to have a mass in his heart during a routine exam for previously diagnosed urothelial cancer, despite being asymptomatic.
- After surgery to remove the mass, the patient experienced a rapid recurrence within 45 days, highlighting the aggressive nature of these metastases and the limitations of surgical intervention alone.
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