12 February 2021>: Articles
Myocardial Metastasis of Tongue Cancer: A Rare Localization
Challenging differential diagnosis, Rare disease
Marco Carbonaro A* , Giulia Russo A , Silvia Mezi B , Giuseppe Mancuso B , Vincenzo Paravati A , Francesco Barillà A , Carlo Gaudio A , Giuseppe Pannarale * , Concetta Torromeo *DOI: 10.12659/AJCR.927459
Am J Case Rep 2021; 22:e927459
Table 1. Summary of published cases.
Study | Year of publication | Primary site | Location of metastases | Symptoms | ECG anomalies | Treatment | Follow-up period |
---|---|---|---|---|---|---|---|
Werbel et al []9 | 1985 | Tongue | Pericardium, right atrium | Cardiac murmur, chest pain | ST depression, T waves inversion | Radiotherapy | 7 wk |
Rivkin et al []10 | 1999 | Tongue | Right ventricle | Chest pain | ST elevation, Q waves, AF | Chemotherapy | “Several months” |
Schwender et al []11 | 2002 | Buccal mucosa | Pericardium | Weakness, respiratory distress | AF | None | N/A |
Hans et al []12 | 2009 | Tongue | Right ventricle | Dyspnea, lower extremity edema, hemoptysis | Right bundle branch block | None | N/A |
Onwuchekwa et al []13 | 2012 | Tongue | Right ventricle, interventricular septum | Syncope, dyspnea | None | None | N/A |
Onwuchekwa et al []13 | 2012 | Tongue | Left ventricle | Palpitations, dyspnea | ST elevation, AF | Radiotherapy | 2 mo |
Nagata et al []8 | 2012 | Tongue | Pericardium, left lower pulmonary vein | Fever | None | Surgery | 3 wk |
Nagata et al []8 | 2012 | Soft palatal mucosa | Right atrium, right ventricle, pericardium | None | Q waves | None | 3 wk |
Browning et al []14 | 2015 | Tongue | Right ventricle | N/A | N/A | None | N/A |
Malekzadeh et al []15 | 2017 | Tongue | Right ventricle | Acute chest pain | ST elevation | Chemotherapy | 2 mo |
Kumar et al []16 | 2019 | Tongue | Interventricular septum | Syncope | Complete heart block | Pacemaker implant | 1 wk |
Shafiq et al []17 | 2019 | Tongue | Left ventricle | None | ST elevation | Chemotherapy | Months |
Tandon et al []18 | 2019 | Tongue | Left and right ventricle | Acute chest pain | ST elevation | None | N/A |
Present case | 2020 | Tongue | Right ventricle | None | None | Chemotherapy | 4 mo |
AF – atrial fibrillation; ECG – electrocardiogram; N/A – not applicable. |