A case of metastatic heart disease in kidney cancer

DOI: https://doi.org/10.29296/25877305-2024-06-06
Issue: 
6
Year: 
2024

Professor G. Babushkina(1), MD; A. Gubaeva(2); A. Zhumaniyazova(2), Candidate
of Medical Sciences; K. Shestova(2); E. Kamaltdinov(1); A. Sarvalieva(1); S. Muzyukova(2)
1-Bashkir State Medical University, Ufa
2-City Clinical Hospital Thirteen, Ufa

Metastatic lesions of the heart can occur in various oncological diseases, but are more often observed in malignant neoplasms of nearby organs. A clinical case of a patient with kidney cancer and cardiac metastases occurring under the guise of acute myocardial infarction (AMI) is presented. In this case, metastases were detected only during a pathological autopsy of the patient. Thus, in a patient with cancer and the clinical picture of AMI, it is necessary to exclude the presence of metastases in the heart, as well as non-coronary causes of increased troponin levels. Correct diagnosis of cardiac metastases plays a decisive role in choosing optimal therapy and improving the prognosis for the patient.

Keywords: 
oncology
cardiac neoplasm
metastases
myocardium.



References: 
  1. Иофе Е.И., Конов В.Г., Соловьев Е.Б. и др. Клинический случай метастаза остеосаркомы в полости сердца. Патология кровообращения и кардиохирургия. 2018; 22 (1): 55–60 [Iofe E.I., Konov V.G., Solovev E.B. et al. A traumatic injury of the aortic arch after blunt chest trauma. Circulation Pathology and Cardiac Surgery. 2018; 22 (1): 55–60 (in Russ.)]. DOI: 10.21688/1681-3472-2018-1-55-60
  2. Burazor I., Aviel-Ronen S., Imazio M. et al. Metastatic cardiac tumors: from clinical presentation through diagnosis to treatment. BMC Cancer. 20218; 18: 202. DOI: 10.1186/s12885-018-4070-x
  3. Кухарчик Г.А., Дикарев К.В., Минкин С.Р. и др. Редкий случай метастатического поражения сердца при раке мочевого пузыря. Кардиология. 2017; 57 (S1): 367–72 [Kukharchik G.A., Dikarev K.V., Minkin S.R. et al. A rare case of metastatic tumor of heart from bludder cancer. Kardiologiia. 2017; 57 (1S): 367–72 (in Russ.)]. DOI: 10.18087/cardio.2394
  4. Buja L.M. Cardiovascular Pathology. 4th Ed. Academic Press, 2016; рр. 735–62.
  5. Воронова А.С., Брагина Д.Н., Чокова А.М. и др. Случаи метастатического поражения сердца по данным аутопсий. Актуальные вопросы современной медицинской науки и здравоохранения. Сб. ст. VII Междунар. научно-практ. Конф. молодых ученых и студентов. Екатеринбург: Уральский государственный медицинский университет, 2022; с. 1386–91 [Voronova A.S., Bragina D.N., Chokova A.M. et al. Cases of metastatic heart lesion according to autopsies. topical issues of modern medical science and public health. Collection of articles of VII International Scientific and Practical Conference of Young Scientists and Students. Yekaterinburg: Ural State Medical University, 2022; pр. 1386–91 (in Russ.)].
  6. Kavanagh M.M., Janjanin S., Prgomet D. Cardiac metastases and a sudden death as a complication of advanced stage of head and neck squamous cell carcinoma. Coll Antropol. 2012; 36: 19–21.
  7. Шатов Д.В., Григорьев П.Е., Шаланин В.В. Случай метастазирования рака мочевого пузыря в миокард. Бюллетень сибирской медицины. 2020; 19 (4): 241–6 [Shatov D.V., Grigoriev P.E., Shalanin V.V. A case of myocardial metastasis of bladder cancer. Bulletin of Siberian Medicine. 2020; 19 (4): 241–6 (in Russ.)]. DOI: 10.20538/1682-0363-2020-4-241-246
  8. Крикунова О.В., Васюк Ю.А., Висков Р.В. и др. Сердечные тропонины в выявлении кардиотоксичности у пациентов, подвергшихся химиотерапии. Российский кардиологический журнал. 2015; 12: 119–25 [Krikunova O.V., Vasyuk Yu.A., Viskov R.V. et al. Chemotherapy cardiotoxicity screening with cardiac troponins. Russian Journal of Cardiology. 2015; 12: 119–25 (in Russ.)]. DOI: 10.15829/1560-4071-2015-12-119-125
  9. Чаулин А.М., Карслян Л.С., Дупляков Д.В. Некоронарогенные причины повышения тропонинов в клинической практике. Клиническая практика. 2019; 10 (4): 81–93 [Chaulin A.M., Karslyan L.S., Duplyakov D.V. Non-coronarogenic causes of increased cardiac troponins in clinical practice. Journal of Clinical Practice. 2019; 10 (4): 81–93 (in Russ.)]. DOI: 10.17816/clinpract16309