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CASE REPORT
Year : 2014  |  Volume : 15  |  Issue : 2  |  Page : 54-56

Carcinoma of unknown primary presenting as large right atrial and ventricular mass secondary to disseminated tumor thrombosis


1 Department of Cardiology, Royal Hospital, Muscat, Sultanate of Oman
2 Department of Chest Medicine, Royal Hospital, Muscat, Sultanate of Oman
3 Department of Radiology, Royal Hospital, Muscat, Sultanate of Oman

Correspondence Address:
Prashanth Panduranga
Department of Cardiology, Royal Hospital, PB 1331, Muscat-111, Sultanate of Oman

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.137506

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We report a 65-year-old male patient who presented with right heart failure and a large mobile right atrial and ventricular mass on echocardiography. His computed tomography demonstrated bilateral supraclavicular/mediastinal lymphadenopathy, right atrial and ventricular mass with right pulmonary artery segmental embolism, and multiple liver hypodense lesions. His tumor markers were negative. However, fine-needle aspiration cytology of supraclavicular lymph node revealed metastatic carcinoma suggestive of squamous cell carcinoma. He was suspected to have carcinoma of unknown primary origin. This case illustrates a rare presentation of carcinoma of unknown primary origin with disseminated tumor thrombosis primarily manifesting in heart and other sites.


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