Superior Vena Cava as Gateway to Heart: Metastatic Breast Carcinoma Causing Ball in a Loop Metastasis to Right Atrium
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 7
Abstract
Breast carcinoma is the most common invasive cancer in women worldwide. It metastasizes commonly to bone, lungs, regional lymph nodes and brain. Cardiac metastasis of lung and breast cancers is a known but rare complication of advanced disease with tumour metastasising to pericardium via the locoregional lymphatic system. Here we present a case of 59-year-old female presenting with right upper limb oedema, facial puffiness and features of Superior Vena Cava (SVC) syndrome 15 years after mastectomy and adjuvant chemotherapy, radiotherapy for carcinoma of the right breast. Further evaluation revealed extensive thrombus invading the right internal jugular vein, subclavian vein, SVC with intraluminal extension into right atrium causing ball in a loop obstruction at tricuspid valve. Whole body Positron emission tomography scan confirmed the diagnosis of extensive metastatic disease and patient was managed on palliative therapy. Haematogenous spread and intraluminal growth of metastatic deposits from breast carcinoma 15 years ago is rare and clinical presentation as SVC obstruction has not been reported in our review of literature.
Authors and Affiliations
Harpreet Singh Sandhu, Sampath kumar Mahadevappa Mahendrakar, Sulaiman Sadruddin Ladhani, Azizullah Hafizullah Khan, Yunus Shafi Loya
Keywords
Related Articles
- EP ID EP356371
- DOI 10.7860/JCDR/2017/26388.10183
- Views 75
- Downloads 0
Bite of a Mite: A Case of Human Otoacariasis caused by Cosmoglyphus Species (Acari: Acaridae)
Otoacariasis or parasitic otitis, is the infestation of the ear with ticks/mites and is a common condition in the livestock and domestic animals. Although, less common, cases of human otoacariasis caused by mites can be...
Anaemia in CD5 Negative Chronic Lymphoproliferative Disorder: Importance of Bone Marrow Examination
Letter to Editor
Hypernatremia and Acute Kidney Injury in Exclusive Breast Fed Babies-Time to Reconsider!
ABSTRACT Introduction: Hypernatremia in breast fed babies is not very commonly reported. But incidence seems to be increasing. Exact pathophysiology is not clear but hypothesised to be due to relative lactation failure i...
Cardiac Output in Late Onset Neonatal Sepsis
Introduction: Haemodynamics in sepsis is complex. Clinical variables such as heart rate, blood pressure and capillary refill time have been demonstrated to be misleading in their accuracy. Measurements of central blood f...
Permanent Maxillary First Molar with Two Rooted Anatomy: A Rare Occurrence
The basis of successful endodontic therapy resides on sound and thorough knowledge of the root canal anatomy, its variations and the clinical skills. The importance of the knowledge of the anatomy of root canals cannot b...