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Cardiac metastatic melanoma: Imaging diagnostic clues.

ABSTRACT: A 47-year-old male was admitted to hospital for severe pericardial effusion; he had undergone surgical removal of cutaneous melanoma 10 years before. Echocardiography-guided pericardiocentesis revealed the presence of intramyocardial masses, which were better defined and characterized, together with pericardial involvement, by cardiac magnetic resonance. Pericardial fluid drained was negative for malignant cells, so video-assisted thoracoscopy was performed and pathologic tissue was biopsied, leading to the diagnosis of metastatic melanoma. Multidisciplinary approach and multimodality imaging played a key role in allowing the diagnostic workup in this complex case. <Learning objective: The diagnosis of cardiac metastases is challenging and histologic characterization is necessary to guide therapy. Multimodality imaging and minimally invasive thoracoscopy are key tools to achieve these goals.>.

SUBMITTER: Pedrotti P

PROVIDER: S-EPMC6262157 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature

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Cardiac metastatic melanoma: Imaging diagnostic clues.

Pedrotti Patrizia P Musca Francesco F Torre Massimo M Pirola Roberto R De Biase Anna Maria AM Fieschi Stefano S Quattrocchi Giuseppina G Roghi Alberto A Giannattasio Cristina C

Journal of cardiology cases 20150330 2

A 47-year-old male was admitted to hospital for severe pericardial effusion; he had undergone surgical removal of cutaneous melanoma 10 years before. Echocardiography-guided pericardiocentesis revealed the presence of intramyocardial masses, which were better defined and characterized, together with pericardial involvement, by cardiac magnetic resonance. Pericardial fluid drained was negative for malignant cells, so video-assisted thoracoscopy was performed and pathologic tissue was biopsied, le ...[more]

PMID: 30524534

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