Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium
Identifieur interne : 000065 ( Pmc/Checkpoint ); précédent : 000064; suivant : 000066Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium
Auteurs : Harpreet Singh Sandhu ; Sampath Kumar Mahadevappa Mahendrakar ; Sulaiman Sadruddin Ladhani ; Azizullah Hafizullah Khan ; Yunus Shafi LoyaSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2017.
Abstract
Breast carcinoma is the most common invasive cancer in women worldwide. It metastasizes commonly to bone, lungs, regional lymph nodes and brain. Cardiac metastasis of lung and breast cancers is a known but rare complication of advanced disease with tumour metastasising to pericardium via the locoregional lymphatic system. Here we present a case of 59-year-old female presenting with right upper limb oedema, facial puffiness and features of Superior Vena Cava (SVC) syndrome 15 years after mastectomy and adjuvant chemotherapy, radiotherapy for carcinoma of the right breast. Further evaluation revealed extensive thrombus invading the right internal jugular vein, subclavian vein, SVC with intraluminal extension into right atrium causing ball in a loop obstruction at tricuspid valve. Whole body Positron emission tomography scan confirmed the diagnosis of extensive metastatic disease and patient was managed on palliative therapy. Haematogenous spread and intraluminal growth of metastatic deposits from breast carcinoma 15 years ago is rare and clinical presentation as SVC obstruction has not been reported in our review of literature.
Url:
DOI: 10.7860/JCDR/2017/26388.10183
PubMed: 28893026
PubMed Central: 5579767
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:5579767Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium</title><author><name sortKey="Sandhu, Harpreet Singh" sort="Sandhu, Harpreet Singh" uniqKey="Sandhu H" first="Harpreet Singh" last="Sandhu">Harpreet Singh Sandhu</name><affiliation><nlm:aff id="aff1"> FNB Critical Care Medicine Trainee, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Mahendrakar, Sampath Kumar Mahadevappa" sort="Mahendrakar, Sampath Kumar Mahadevappa" uniqKey="Mahendrakar S" first="Sampath Kumar Mahadevappa" last="Mahendrakar">Sampath Kumar Mahadevappa Mahendrakar</name><affiliation><nlm:aff id="aff2"> Intensivist, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Ladhani, Sulaiman Sadruddin" sort="Ladhani, Sulaiman Sadruddin" uniqKey="Ladhani S" first="Sulaiman Sadruddin" last="Ladhani">Sulaiman Sadruddin Ladhani</name><affiliation><nlm:aff id="aff3"> Consulting Physician, Department of Pulmonary Medicine,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Khan, Azizullah Hafizullah" sort="Khan, Azizullah Hafizullah" uniqKey="Khan A" first="Azizullah Hafizullah" last="Khan">Azizullah Hafizullah Khan</name><affiliation><nlm:aff id="aff4"> ICU Director, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Loya, Yunus Shafi" sort="Loya, Yunus Shafi" uniqKey="Loya Y" first="Yunus Shafi" last="Loya">Yunus Shafi Loya</name><affiliation><nlm:aff id="aff5"> Consulting Cardiologist, Department of Cardiology,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28893026</idno><idno type="pmc">5579767</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579767</idno><idno type="RBID">PMC:5579767</idno><idno type="doi">10.7860/JCDR/2017/26388.10183</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002057</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002057</idno><idno type="wicri:Area/Pmc/Curation">002056</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002056</idno><idno type="wicri:Area/Pmc/Checkpoint">000065</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000065</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium</title><author><name sortKey="Sandhu, Harpreet Singh" sort="Sandhu, Harpreet Singh" uniqKey="Sandhu H" first="Harpreet Singh" last="Sandhu">Harpreet Singh Sandhu</name><affiliation><nlm:aff id="aff1"> FNB Critical Care Medicine Trainee, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Mahendrakar, Sampath Kumar Mahadevappa" sort="Mahendrakar, Sampath Kumar Mahadevappa" uniqKey="Mahendrakar S" first="Sampath Kumar Mahadevappa" last="Mahendrakar">Sampath Kumar Mahadevappa Mahendrakar</name><affiliation><nlm:aff id="aff2"> Intensivist, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Ladhani, Sulaiman Sadruddin" sort="Ladhani, Sulaiman Sadruddin" uniqKey="Ladhani S" first="Sulaiman Sadruddin" last="Ladhani">Sulaiman Sadruddin Ladhani</name><affiliation><nlm:aff id="aff3"> Consulting Physician, Department of Pulmonary Medicine,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Khan, Azizullah Hafizullah" sort="Khan, Azizullah Hafizullah" uniqKey="Khan A" first="Azizullah Hafizullah" last="Khan">Azizullah Hafizullah Khan</name><affiliation><nlm:aff id="aff4"> ICU Director, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Loya, Yunus Shafi" sort="Loya, Yunus Shafi" uniqKey="Loya Y" first="Yunus Shafi" last="Loya">Yunus Shafi Loya</name><affiliation><nlm:aff id="aff5"> Consulting Cardiologist, Department of Cardiology,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mumbai, Maharashtra, India</addr-line>.</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title><idno type="ISSN">2249-782X</idno><idno type="eISSN">0973-709X</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Breast carcinoma is the most common invasive cancer in women worldwide. It metastasizes commonly to bone, lungs, regional lymph nodes and brain. Cardiac metastasis of lung and breast cancers is a known but rare complication of advanced disease with tumour metastasising to pericardium via the locoregional lymphatic system. Here we present a case of 59-year-old female presenting with right upper limb oedema, facial puffiness and features of Superior Vena Cava (SVC) syndrome 15 years after mastectomy and adjuvant chemotherapy, radiotherapy for carcinoma of the right breast. Further evaluation revealed extensive thrombus invading the right internal jugular vein, subclavian vein, SVC with intraluminal extension into right atrium causing ball in a loop obstruction at tricuspid valve. Whole body Positron emission tomography scan confirmed the diagnosis of extensive metastatic disease and patient was managed on palliative therapy. Haematogenous spread and intraluminal growth of metastatic deposits from breast carcinoma 15 years ago is rare and clinical presentation as SVC obstruction has not been reported in our review of literature.</p></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id><journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id><journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id><journal-id journal-id-type="publisher-id">JCDR</journal-id><journal-title-group><journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title></journal-title-group><issn pub-type="ppub">2249-782X</issn><issn pub-type="epub">0973-709X</issn><publisher><publisher-name>JCDR Research and Publications (P) Limited</publisher-name><publisher-loc>Delhi, India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28893026</article-id><article-id pub-id-type="pmc">5579767</article-id><article-id pub-id-type="doi">10.7860/JCDR/2017/26388.10183</article-id><article-categories><subj-group subj-group-type="heading"><subject>Oncology Section</subject><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></subj-group></article-categories><title-group><article-title>Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Sandhu</surname><given-names>Harpreet Singh</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Mahendrakar</surname><given-names>Sampath Kumar Mahadevappa</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Ladhani</surname><given-names>Sulaiman Sadruddin</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Khan</surname><given-names>Azizullah Hafizullah</given-names></name><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Loya</surname><given-names>Yunus Shafi</given-names></name><xref ref-type="aff" rid="aff5">5</xref></contrib></contrib-group><aff id="aff1"><label>1</label> FNB Critical Care Medicine Trainee, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</aff><aff id="aff2"><label>2</label> Intensivist, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</aff><aff id="aff3"><label>3</label> Consulting Physician, Department of Pulmonary Medicine,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</aff><aff id="aff4"><label>4</label> ICU Director, Department of Intensive Care,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mazgaon, Mumbai, Maharashtra, India</addr-line>.</aff><aff id="aff5"><label>5</label> Consulting Cardiologist, Department of Cardiology,<institution>Prince Aly Khan Hospital</institution>,<addr-line>Nesbit Road, Mumbai, Maharashtra, India</addr-line>.</aff><author-notes><corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Harpreet Singh Sandhu, FNB Critical Care Medicine Trainee, Department of Intensive Care, Prince Aly Khan Hospital, Nesbit Road, Mazgaon, Mumbai, Maharashtra-400010, India. E-mail: <email>itallionstallion17@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>7</month><year>2017</year></pub-date><pub-date pub-type="epub"><day>01</day><month>7</month><year>2017</year></pub-date><volume>11</volume><issue>7</issue><fpage>XD03</fpage><lpage>XD05</lpage><history><date date-type="received"><day>28</day><month>12</month><year>2016</year></date><date date-type="rev-request"><day>13</day><month>2</month><year>2017</year></date><date date-type="accepted"><day>20</day><month>5</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 Journal of Clinical and Diagnostic Research</copyright-statement><copyright-year>2017</copyright-year></permissions><abstract><p>Breast carcinoma is the most common invasive cancer in women worldwide. It metastasizes commonly to bone, lungs, regional lymph nodes and brain. Cardiac metastasis of lung and breast cancers is a known but rare complication of advanced disease with tumour metastasising to pericardium via the locoregional lymphatic system. Here we present a case of 59-year-old female presenting with right upper limb oedema, facial puffiness and features of Superior Vena Cava (SVC) syndrome 15 years after mastectomy and adjuvant chemotherapy, radiotherapy for carcinoma of the right breast. Further evaluation revealed extensive thrombus invading the right internal jugular vein, subclavian vein, SVC with intraluminal extension into right atrium causing ball in a loop obstruction at tricuspid valve. Whole body Positron emission tomography scan confirmed the diagnosis of extensive metastatic disease and patient was managed on palliative therapy. Haematogenous spread and intraluminal growth of metastatic deposits from breast carcinoma 15 years ago is rare and clinical presentation as SVC obstruction has not been reported in our review of literature.</p></abstract><kwd-group><kwd>Cardiac metastasis</kwd><kwd>Right atrial mass</kwd><kwd>Superior vena cava syndrome</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Khan, Azizullah Hafizullah" sort="Khan, Azizullah Hafizullah" uniqKey="Khan A" first="Azizullah Hafizullah" last="Khan">Azizullah Hafizullah Khan</name><name sortKey="Ladhani, Sulaiman Sadruddin" sort="Ladhani, Sulaiman Sadruddin" uniqKey="Ladhani S" first="Sulaiman Sadruddin" last="Ladhani">Sulaiman Sadruddin Ladhani</name><name sortKey="Loya, Yunus Shafi" sort="Loya, Yunus Shafi" uniqKey="Loya Y" first="Yunus Shafi" last="Loya">Yunus Shafi Loya</name><name sortKey="Mahendrakar, Sampath Kumar Mahadevappa" sort="Mahendrakar, Sampath Kumar Mahadevappa" uniqKey="Mahendrakar S" first="Sampath Kumar Mahadevappa" last="Mahendrakar">Sampath Kumar Mahadevappa Mahendrakar</name><name sortKey="Sandhu, Harpreet Singh" sort="Sandhu, Harpreet Singh" uniqKey="Sandhu H" first="Harpreet Singh" last="Sandhu">Harpreet Singh Sandhu</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000065 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 000065 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:5579767
|texte= Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:28893026" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |