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Renal Cell Carcinoma Metastasis to the Left Atrium

Aizaz Ali1, Saeedullah Shah1, Muhammad Furrukh2

  • 1Department of Cardiology, Shifa International Hospital, Islamabad, Pakistan.

Texas Heart Institute Journal
|June 8, 2022
PubMed

Insights

This case report details a rare instance of renal cell carcinoma (RCC) spreading to the heart's left atrium. Treatment involved radiation and immunotherapy due to the advanced stage of this rare cancer metastasis.

Area of Science:

  • Oncology
  • Cardiology
  • Radiology

Background:

  • Renal cell carcinoma (RCC) is a primary kidney cancer.
  • Metastasis to the heart is a rare but serious complication of advanced RCC.

Observation:

  • A man in his 50s with a history of radical nephrectomy for RCC presented with amnesia.
  • Brain MRI revealed metastatic lesions, and CT scans showed a left atrial mass with lung, pleural, and pancreatic metastases.

Findings:

  • This case represents one of only 13 documented instances of RCC metastasis to the left atrium.
  • The patient had widespread metastatic disease involving the brain, lungs, pleura, pancreas, and left atrium.

Implications:

  • The prognosis for left atrial metastasis from RCC is generally poor.
  • Treatment strategies may include radiation therapy and immunotherapy when surgical intervention is not feasible.
Keywords:
Carcinoma, renal cell/complications/drug therapy/pathologyheart neoplasms/diagnostic imaging/epidemiology/etiology/pathology/secondaryincidencemolecular targeted therapy/methodsneoplasm metastasis

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