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.>.

Pedrotti, P., Musca, F., Torre, M., Pirola, R., De Biase, A., Fieschi, S., et al. (2015). Cardiac metastatic melanoma: Imaging diagnostic clues. JOURNAL OF CARDIOLOGY CASES, 12(2), 33-36 [10.1016/j.jccase.2015.03.001].

Cardiac metastatic melanoma: Imaging diagnostic clues

Pedrotti P.
;
Pirola R.;De Biase A. M.;Giannattasio C.
2015

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.>.
Articolo in rivista - Articolo scientifico
Scientifica
Cardiac imaging, Cardiac magnetic resonance, Cardiac metastases, Echocardiography, Thoracoscopy,
English
Pedrotti, P., Musca, F., Torre, M., Pirola, R., De Biase, A., Fieschi, S., et al. (2015). Cardiac metastatic melanoma: Imaging diagnostic clues. JOURNAL OF CARDIOLOGY CASES, 12(2), 33-36 [10.1016/j.jccase.2015.03.001].
Pedrotti, P; Musca, F; Torre, M; Pirola, R; De Biase, A; Fieschi, S; Quattrocchi, G; Roghi, A; Giannattasio, C
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/280845
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