Affiliation:
1. Bashkir State Medical University, Ufa
2. City Clinical Hospital Thirteen, Ufa
Abstract
Metastatic lesions of the heart can occur in various oncological diseases, but are more often observed in malignant neoplasms of nearby organs. A clinical case of a patient with kidney cancer and cardiac metastases occurring under the guise of acute myocardial infarction (AMI) is presented. In this case, metastases were detected only during a pathological autopsy of the patient. Thus, in a patient with cancer and the clinical picture of AMI, it is necessary to exclude the presence of metastases in the heart, as well as non-coronary causes of increased troponin levels. Correct diagnosis of cardiac metastases plays a decisive role in choosing optimal therapy and improving the prognosis for the patient.
Publisher
Russian Vrach, Publishing House Ltd.
Reference9 articles.
1. Иофе Е.И., Конов В.Г., Соловьев Е.Б. и др. Клинический случай метастаза остеосаркомы в полости сердца. Патология кровообращения и кардиохирургия. 2018; 22 (1): 55–60 [Iofe E.I., Konov V.G., Solovev E.B. et al. A traumatic injury of the aortic arch after blunt chest trauma. Circulation Pathology and Cardiac Surgery. 2018; 22 (1): 55–60 (in Russ.)]. DOI: 10.21688/1681-3472-2018-1-55-60
2. Burazor I., Aviel-Ronen S., Imazio M. et al. Metastatic cardiac tumors: from clinical presentation through diagnosis to treatment. BMC Cancer. 20218; 18: 202. DOI: 10.1186/s12885-018-4070-x
3. Кухарчик Г.А., Дикарев К.В., Минкин С.Р. и др. Редкий случай метастатического поражения сердца при раке мочевого пузыря. Кардиология. 2017; 57 (S1): 367–72 [Kukharchik G.A., Dikarev K.V., Minkin S.R. et al. A rare case of metastatic tumor of heart from bludder cancer. Kardiologiia. 2017; 57 (1S): 367–72 (in Russ.)]. DOI: 10.18087/cardio.2394
4. Buja L.M. Cardiovascular Pathology. 4th Ed. Academic Press, 2016; рр. 735–62.
5. Воронова А.С., Брагина Д.Н., Чокова А.М. и др. Случаи метастатического поражения сердца по данным аутопсий. Актуальные вопросы современной медицинской науки и здравоохранения. Сб. ст. VII Междунар. научно-практ. Конф. молодых ученых и студентов. Екатеринбург: Уральский государственный медицинский университет, 2022; с. 1386–91 [Voronova A.S., Bragina D.N., Chokova A.M. et al. Cases of metastatic heart lesion according to autopsies. topical issues of modern medical science and public health. Collection of articles of VII International Scientific and Practical Conference of Young Scientists and Students. Yekaterinburg: Ural State Medical University, 2022; pр. 1386–91 (in Russ.)].