FDG-PET and Chemotherapy for Successful Diagnosis and Treatment of Cardiac Metastasis from Non-Small Cell Lung Cancer

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  • Sato Ryo
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan
  • Ichiyasu Hidenori
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan
  • Saeki Sho
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan
  • Sakata Shinya
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan
  • Sasaki Ji-ichirou
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan Department of Respiratory Medicine, Kitasato University Hospital, Japan
  • Fujii Kazuhiko
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan
  • Saita Naoki
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan
  • Kohrogi Hirotsugu
    Department of Respiratory Medicine, Kumamoto University Hospital, Japan Faculty of Life Sciences, Kumamoto University, Japan

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Description

Non-small cell lung cancer was metastasized at the septal side of right atrium in 59-year-old woman who had undergone surgery for lung cancer 11 years ago. The cardiac metastasis was found by whole-body 18F-fluoro-deoxy-glucose positron emission tomography/computed tomography (FDG-PET/CT), and cytologically confirmed by myocardial aspiration biopsy with right heart catheterization. The patient was treated with 4 cycles of carboplatin/pemetrexed followed by maintenance therapy with pemetrexed. The metastatic cardiac tumor shrank, and the atrioventricular (AV) block in ECG was improved. In this case, FDG-PET and chemotherapy were valuable for diagnosis and treatment of cardiac metastasis from non-small cell lung cancer.<br>

Journal

  • Internal Medicine

    Internal Medicine 51 (14), 1909-1912, 2012

    The Japanese Society of Internal Medicine

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