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Floating heart metastasis.

Nicola Mumoli1, Marco Cei, Paolo Pasquinelli

  • 1Section of Emergency Medicine and Cardiology, Department of Internal Medicine, Livorno Hospital, Livorno, Italy. nimumoli@tiscali.it

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|September 27, 2006
PubMed
Summary
This summary is machine-generated.

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A rare, late recurrence of renal cell carcinoma (RCC) was found 25 years after surgery. This aggressive tumor invaded the heart, leading to a rapid decline in a 58-year-old man.

Area of Science:

  • Oncology
  • Cardiovascular Pathology

Background:

  • Renal cell carcinoma (RCC) represents 2% of all cancers.
  • Approximately one-third of patients with localized RCC experience recurrence after resection.

Observation:

  • A 58-year-old man presented with a right atrial mass extending into the right ventricle.
  • The mass, identified via echocardiography, originated from the inferior vena cava.

Findings:

  • The atrial mass was confirmed as recurrent renal cell carcinoma.
  • This recurrence occurred 25 years after a radical left nephrectomy for the primary tumor.

Implications:

  • This case highlights an exceptionally rare pattern of late RCC recurrence.
  • The tumor's aggressive nature likely contributed to extensive cardiac invasion and a poor prognosis.

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  • Such late recurrences warrant consideration in long-term patient follow-up.