A Case of Pulmonary Vein Tumor Presenting as a Left Atrial Mass.
10.3904/kjim.2007.22.1.32
- Author:
Hyo Keun JEON
1
;
Jung Ho KIM
;
Gwon Hyun CHO
;
Sun Young KYUNG
;
Sung Hwan JEONG
;
Wook Jin CHUNG
;
Na Rae KIM
Author Information
1. Department of Internal Medicine, Gachon Medicine School and Science, Gil Medical Center, Incheon, Korea. light@gilhospital.com
- Publication Type:Case Report
- Keywords:
Pulmonary vein tumor;
Left atrium tumor
- MeSH:
Vascular Neoplasms/*diagnosis/pathology;
Thromboembolism/diagnosis;
Sacrococcygeal Region/pathology;
Pulmonary Veins/*pathology;
Palliative Care;
Humans;
Heart Neoplasms/*diagnosis/pathology;
Heart Atria/*pathology;
Female;
Diagnosis, Differential;
Aged
- From:The Korean Journal of Internal Medicine
2007;22(1):32-36
- CountryRepublic of Korea
- Language:English
-
Abstract:
Primary cardiac tumors are extremely rare and can originate within the heart or be the result of tumor spread from other sites. We report a female patient with a pulmonary vein tumor extending into the left atrium that had a suspicious primary malignant origin with a sacral metastatic carcinoma. The patient was admitted complaining of pain in her buttock area as a result of a sacral tumor. It was believed that the sacral tumor was a metastasis from the imaging study and clinical manifestation. The primary malignant origin was evaluated. The chest CT showed a left atrium thrombus-like lesion without a pulmonary abnormality. After a transesophageal echocardiogram, the patient was diagnosed with a pulmonary vein tumor extending to the left atrium. The patient was given palliative radiotherapy for the sacral pain. Initially, the clinical impression was a metastatic sacral tumor with a thromboembolism of the left atrium. However, this patient was finally diagnosed with a pulmonary vein tumor with a left atrium extension by a transesophageal echocardiogram.