Colon Cancer with Metastasis to the Right Atrium: A Case Report and Review of Literature

Publish Year: 1399
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_MISJ-11-4_015

تاریخ نمایه سازی: 25 آبان 1402

Abstract:

We report a case of colon cancer with pancreatic and interesting heart metastasis several months prior to disseminated metastases. The case was a ۵۹-year-old man with a cecal cancer (T۴N۲); he received chemotherapy with XELOX regimen and then radiotherapy up to a dose of ۴۵ Gy. He was under close and regular follow-up. After ۴۲ months, he developed jaundice and computed tomography (CT) scan showed an isolated mass in the pancreas. We performed Whipple’s operation and the pathology report was pancreatic metastasis. He received chemotherapy and was relatively well until his CEA rose again and the chest CT scan indicated cardiac metastasis. We resected the metastasis and administered chemotherapy. Unfortunately, the case developed brain metastasis and passed away. We searched the literature and found ۱۵ cases of colon cancer and cardiac metastasis. We found no cases with metastasis from colon cancer to the left side. Although cardiac metastasis has a poor prognosis, it might be more prevalent than what is generally believed.

Authors

Mohammad Mohammadianpanah

Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Hamid Nasrollahi

Radiation Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran

Mohammad Reza Sasani

Medical Imaging Research Center, Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Vahid Zangouri

Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Nadereh Shamsolvaezin

Clinical and Anatomical Pathologist, Kowsar Hospital, Shiraz, Iran

Seyed Hassan Hamedi

Radiation Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran

Mansour Ansari

Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Niloofar Ahmadloo

Radiation Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran

Shapour Omidvari

Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Ahmad Mosalaei

Shiraz Institute for Cancer Research, Shiraz University of Medical Sciences, Shiraz, Iran

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