Case report of a 65-year-old man with biatrial metastatic localisation from poorly differentiated cutaneous squamous cell carcinoma.

atrial metastases biatrial cancer carcinoma cutaneous heart skin

Journal

Ecancermedicalscience
ISSN: 1754-6605
Titre abrégé: Ecancermedicalscience
Pays: England
ID NLM: 101392236

Informations de publication

Date de publication:
2019
Historique:
received: 24 08 2019
entrez: 11 1 2020
pubmed: 11 1 2020
medline: 11 1 2020
Statut: epublish

Résumé

We report the case of an immunocompetent 65-year-old man affected by cutaneous squamous cell carcinoma (cSCC) with lung and biatrial metastatic localisation. In May 2018, the patient underwent lower limb amputation due to the finding of a large ulceration which upon biopsy was found to be a poorly differentiated squamous cell carcinoma (SCC), ulcerated, full-thickness infiltrating from the skin to the underlying bone tissue. After 1 month, a radiological restaging found multiple pulmonary localisations and a right-atrial metastatic localisation. The patient was then studied in-depth and a transesophageal echocardiogram found that the patient had two 2 and 5 cm metastatic localisations in the left atrium and a 3-cm metastatic localisation in the right atrium. Informed about the clinical situation and about the risks of a chemotherapeutic treatment, the patient decided not to start any treatment. This case represents, to our knowledge, the only case of a biatrial metastatic localisation from cSCC and is representative of how cardiac symptoms and signs in patients affected by this disease must be evaluated.

Identifiants

pubmed: 31921348
doi: 10.3332/ecancer.2019.977
pii: can-13-977
pmc: PMC6946424
doi:

Types de publication

Case Reports

Langues

eng

Pagination

977

Informations de copyright

© the authors; licensee ecancermedicalscience.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Lorenzo Dottorini (L)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Italo Sarno (I)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Pasquale Scopelliti (P)

Cardiology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Gianluca Cotroneo (G)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Maribel Duluc (M)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Alessandro Iaculli (A)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Nicola Giuntini (N)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Federica Brena (F)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Giuseppe Nastasi (G)

Oncology Unit, Medical Sciences Department, ASST Bergamo Est, Alzano Lombardo, BG 24022, Italy.

Classifications MeSH