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30 May 2018 : Case report  USA

Silent Neoplastic Cardiac Invasion in Small Cell Lung Cancer: A Case Report and Review of the Literature

Rare coexistence of disease or pathology

Ngoc Pham1ABCDEFG, Mark D. Bonnen1ABDFG, Yohannes T. Ghebre12EFG*

DOI: 10.12659/AJCR.908374

Am J Case Rep 2018; 19:619-622

Abstract

BACKGROUND: Secondary malignant tumor of the heart is one of the most life-threatening complications of lung cancer. Several published case reports have documented non-small cell lung cancer (NSCLC) patients with neoplastic cardiac invasion. However, the number of reported cases of small cell lung cancer (SCLC) with neoplastic cardiac invasion is limited.

CASE REPORT: We present a rare case of advanced SCLC in a patient with asymptomatic neoplastic cardiac invasion. We also discuss radiation therapy modalities that should be considered in SCLC patients with cardiac invasion.

CONCLUSIONS: Clinicians should be vigilant about cases of SCLC with asymptomatic intra-cardiac invasion and practice caution when diagnosing, as well as treating with radiation as a monotherapy.

Keywords: Radiation, Small Cell Lung Carcinoma

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923