Massive cardiac invasion by amelanotic melanoma with obstructive clinical features.

Abstract:

:Reports of malignant melanoma involving the heart usually describe metastatic spread of pigmented (melanotic) forms of this tumour. We describe, and illustrate, a patient presenting with features related to cardiac tamponade and intracardiac obstruction. Transthoracic echocardiography initially showed a large mass within the right ventricular outflow tract. The full extent of infiltration of this tumour was demonstrated by computed tomography scanning and the specific tumour type by immunohistochemical staining procedures. The case is unusual in relation to the extreme size of this amelanotic melanoma at presentation and the fact that it appears to be a solitary metastasis.

journal_name

Postgrad Med J

authors

Dubrey S,Grocott-Mason R,Mittal T,Burke M

doi

10.1136/pgmj.2007.065540

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

163-6

issue

989

eissn

0032-5473

issn

1469-0756

pii

84/989/163

journal_volume

84

pub_type

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