Solitary atrial metastases: a rare clinical challenge. (30th March 2011)

• Record Type: Journal Article
• Authors: Eminowicz, Gemma; Achilleos, Katerina; Payne, Simon; Davies, John; Robinson, Anne
• Is Part Of: BMJ case reports. Volume 2011
• Publication Date: 2011-03-30
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.11.2010.3506
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : This case describes a 55-year-old lady presenting with lethargy, migraines and a cardiac mass on a background history of breast cancer. She had been treated initially with a mastectomy, axillary node clearance, reconstruction and hormone manipulation followed by chemotherapy and high dose radiotherapy for an isolated supraclavicular metastases. She was disease free for 5 years when she complained of lethargy and migraines. A CT confirmed an isolated cardiac lesion, confirmed on echocardiogram A percutaneous atrial biopsy revealed an atrial metastases from breast carcinoma. She was treated with chemotherapy achieving a good response but was still deemed inoperable after treatment. She currently is receiving letrozole.