Authors: S Patel M Heetun S V Gurjar S Szakacs
Publish Date: 2009/04/23
Volume: 24, Issue: 8, Pages: 993-994
Abstract
Metastatic tumours to the heart are more common than primary cardiac neoplasms and can occur in as many as 15 of patients with malignancies The most common primary tumours that metastasise to the heart are breast lung and malignant melanoma The cardiac tissue most frequently affected is the myocardium followed by the pericardium and then the endocardium Metastatic tumours extending into the heart chambers and conducting system are less common The most common route of metastasis is through lymphatic spread followed by haematogenous disseminationCarcinoid metastases to the heart are extremely rare and only 19 cases have been described in the literature over the past 30 years These invariably occur in the presence of liver metastases We present a unique case of a patient who at postmortem was found to have intracardiac carcinoid metastases involving a sensitive cardiac structure in the absence of liver or any other metastases
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