IMAGES IN THORAX
Intracardiac extension of lung cancer via the pulmonary vein
1 Division of Chest Medicine, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
2 Department of Pathology, National Taiwan University Hospital, Taipei, Taiwan
3 Department of Internal Medicine, Ear Eastern Memorial Hospital, Taipei County, Taiwan
Correspondence to:
Dr S-C Ku, Division of Chest Medicine, Department of Internal Medicine, National Taiwan University Hospital, No 7 Chung-Shan South Road, Taipei 100, Taiwan; scku1015@ntu.edu.tw
Accepted 19 November 2007
| The first 150 words of the full text of this article appear below. |
A 69-year-old male heavy smoker had intermittent haemoptysis for 1 month. He did not have exertional dyspnoea, palpitations or chest pain. Chest radiography showed a mass over the right lower lung (RLL). A CT scan of the chest revealed a dumbbell-shaped tumour with an irregular mass in the RLL field, with a tubular part extending along the right inferior pulmonary vein (fig 1A, arrowheads) and an oval tumour in the left atrium (fig 1A, asterisk). Transthoracic echocardiography through the apical four-chamber view showed an intracardiac tumour (asterisk, fig 1B) protruding from the right pulmonary vein (arrowheads, fig 1B). A complete staging investigation, including bronchoscopy, head CT scan and whole body bone scintigraphy, did not show any distant metastasis.
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Figure 1 (A) Chest CT scan showing a right lower lung tumour extending through the right inferior pulmonary vein (arrowheads) into the left atrium as an intracardiac tumour | |||||||||
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