Case report of a 65-year-old man with biatrial metastatic localisation from poorly differentiated cutaneous squamous cell carcinoma

被引:1
作者
Dottorini, Lorenzo [1 ]
Sarno, Italo [1 ]
Scopelliti, Pasquale [2 ]
Cotroneo, Gianluca [1 ]
Duluc, Maribel [1 ]
Iaculli, Alessandro [1 ]
Giuntini, Nicola [1 ]
Brena, Federica [1 ]
Nastasi, Giuseppe [1 ]
机构
[1] ASST Bergamo Est, Dept Med Sci, Oncol Unit, I-24022 Alzano Lombardo, BG, Italy
[2] ASST Bergamo Est, Dept Med Sci, Cardiol Unit, I-24022 Alzano Lombardo, BG, Italy
来源
ECANCERMEDICALSCIENCE | 2019年 / 13卷
关键词
cutaneous; skin; carcinoma; heart; atrial metastases; cancer; biatrial; AMERICAN JOINT COMMITTEE; SKIN-CANCER; EDITION;
D O I
10.3332/ecancer.2019.977
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We report the case of an immunocompetent 65-year-old man affected by cutaneous squamous cell carcinoma (cSCC) with lung and biatrial metastatic localisation. In May 2018, the patient underwent lower limb amputation due to the finding of a large ulceration which upon biopsy was found to be a poorly differentiated squamous cell carcinoma (SCC), ulcerated, full-thickness infiltrating from the skin to the underlying bone tissue. After 1 month, a radiological restaging found multiple pulmonary localisations and a right-atrial metastatic localisation. The patient was then studied in-depth and a transesophageal echocardiogram found that the patient had two 2 and 5 cm metastatic localisations in the left atrium and a 3-cm metastatic localisation in the right atrium. Informed about the clinical situation and about the risks of a chemotherapeutic treatment, the patient decided not to start any treatment. This case represents, to our knowledge, the only case of a biatrial metastatic localisation from cSCC and is representative of how cardiac symptoms and signs in patients affected by this disease must be evaluated.
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页数:5
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