Cardiac Metastasis by Hypopharyngeal Carcinoma. Case Report

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  • Suda Toshihito
    Department of Otorhinolaryngology, Tokyo Kouseinenkin Hospital
  • Ishii Ayako
    Department of Otorhinolaryngology, Tokyo Kouseinenkin Hospital
  • Hukuda Keizou
    Department of Otorhinolaryngology, Tokyo Kouseinenkin Hospital
  • Utahashi Hiroya
    Department of Otorhinolaryngology, Tokyo Kouseinenkin Hospital
  • Ishii Masanori
    Department of Otorhinolaryngology, Tokyo Kouseinenkin Hospital

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Other Title
  • 心臓転移を来した下咽頭癌の１例
  • シンゾウ テンイ オ キタシタ カイントウ ガン ノ 1レイ

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Abstract

The patient was a 63-year-old Japanese male who came to the hospital with a chief complaint of a sore throat. Hypopharyngeal carcinoma (T4N2bM0, stage IVA) was diagnosed, and at the strong request of the patient he was treated by chemoradiotherapy. The tumor markedly decreased in size, but atrial fibrillation was detected when an ECG was performed in preparation for planned a scheduled re-biopsy of the hypopharynx. The echocardiography findings and result of a myocardial biopsy led to a diagnosis of cardiac metastasis by the hypopharyngeal carcinoma. Metastasis by head and neck malignancies is rare, and it is extremely rare for a confirmed diagnosis to be made while the patient is still alive. The case is described together with some discussion of the published literature.

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