Squamous cell metastasis from the tongue to the myocardium presenting as pericardial effusion

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
A RivkinR Wenokur

Abstract

Cardiac metastasis from head and neck cancer is rarely encountered. We present a base-of-tongue squamous cell carcinoma with metastasis to the heart that was diagnosed antemortem. Autopsy series indicate that tongue cancer may metastasize more frequently to the heart than from other head and neck sites. However, none of these studies was controlled. Most importantly, cardiac metastasis should be suspected in any patient with cancer in whom new cardiac symptoms develop. The diagnosis is best confirmed with two-dimensional echocardiography or cardiac MRI. A myocardial or endocardial biopsy specimen can be obtained with angiographic guidance. Despite the improvement in diagnostic capability, available treatments are only palliative. All patients eventually die of their metastatic disease.

References

Nov 2, 1991·Deutsche medizinische Wochenschrift·C MoserK F Weinges
Nov 1, 1989·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·B Karwinski, E Svendsen
Feb 1, 1953·A.M.A. Archives of Internal Medicine·J F DELOACH, J W HAYNES
Sep 1, 1955·The American Journal of Medicine·H S GASSMANL A BAKER

❮ Previous
Next ❯

Citations

Aug 28, 2012·International Journal of Oral and Maxillofacial Surgery·S NagataM Shinohara
May 5, 2009·American Journal of Otolaryngology·Stéphane HansDaniel F Brasnu
Jun 15, 2004·Radiologic Clinics of North America·André J Duerinckx
Sep 2, 2016·Journal of International Society of Preventive & Community Dentistry·Soussan Irani
Jan 23, 2015·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·Ameya D PuranikVenkatesh Rangarajan
Jun 11, 2019·Case Reports in Otolaryngology·Joseph K KimRichard L Bakst
Sep 22, 2021·BMJ Case Reports·Benjamin DenoiseuxConstantinus Politis

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
imaging techniques
surgical resection

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.