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Trends in cardiac metastasis.

B Karwinski1, E Svendsen

  • 1Department of Pathology, Gade Institute, University of Bergen, Norway.

APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica
|November 1, 1989
PubMed
Summary

Cardiac metastases, particularly from cancers like mesothelioma and melanoma, increased from 1975-1984. Autopsies reveal this trend, highlighting the heart as a site for metastatic spread.

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Area of Science:

  • Pathology
  • Oncology

Background:

  • Cardiac metastases are secondary malignant tumours affecting the heart.
  • Autopsy studies are crucial for understanding the full extent of metastatic disease.

Purpose of the Study:

  • To analyze the incidence and trends of cardiac metastases in autopsy material.
  • To identify primary tumor types associated with increased cardiac involvement.

Main Methods:

  • Retrospective review of 8571 autopsy cases from 1975 to 1984.
  • Analysis of cardiac metastasis frequency in relation to primary malignant tumors.

Main Results:

  • Cardiac metastases were identified in 130 cases (1.5% of all autopsies).
  • The incidence of cardiac involvement rose from 1.2% (1975-1979) to 1.8% (1980-1984).
  • Malignant melanoma, mesothelioma, breast cancer, and sarcomas showed increased cardiac spread, contributing to the overall rise.

Conclusions:

  • The incidence of cardiac metastases has increased, driven by specific cancer types beyond lung cancer.
  • Mesotheliomas exhibit the highest rate of cardiac spread.
  • Autopsy remains vital for diagnosing metastatic disease in challenging clinical sites like the heart.

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