Department of Cardiology, Shifa International Hospital, Islamabad, Pakistan.
Department of Clinical Oncology, Shifa International Hospital, Islamabad, Pakistan.
Tex Heart Inst J. 2022 May 1;49(3). doi: 10.14503/THIJ-20-7452.
Only 13 cases of renal cell carcinoma metastasis to the left atrium of the heart have been described. We report the case of a man in his 50s who had undergone radical nephrectomy for renal cell carcinoma in 2006 and presented with amnesia at our neurology department in 2020. Magnetic resonance images of the brain showed metastatic lesions; subsequent computed tomograms of the chest, abdomen, and pelvis revealed a mass in the left atrium and multiple metastases in the lung, pleura, and pancreas. Our cardiologists advised against surgical removal of the left atrial mass because of a poor prognosis, so radiation therapy and immunotherapy were initiated instead.
仅有 13 例肾细胞癌转移至左心房的病例被描述过。我们报告了 1 例 50 多岁男性患者的病例，他于 2006 年因肾细胞癌接受了根治性肾切除术，于 2020 年在我们的神经内科出现了失忆症。脑部磁共振成像显示有转移病灶；随后进行的胸部、腹部和骨盆计算机断层扫描显示左心房有肿块，并在肺部、胸膜和胰腺多处转移。由于预后不佳，我们的心脏病专家不建议手术切除左心房肿块，因此转而开始进行放射治疗和免疫治疗。
