Multiple intracardiac metastases. Unexpected finding in the diagnosis of lung cancer

Sabatel-Perez, F.; Santos González, B.; Rodríguez-Padial, L.

doi:10.1016/j.rceng.2018.11.015

array:24 ["pii" => "S2254887419301201" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.11.015" "estado" => "S300" "fechaPublicacion" => "2020-06-01" "aid" => "1663" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2020;220:319-20" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256519301043" "issn" => "00142565" "doi" => "10.1016/j.rce.2018.11.014" "estado" => "S300" "fechaPublicacion" => "2020-06-01" "aid" => "1663" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2020;220:319-20" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2 "PDF" => 2 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "Medicina en imágenes" "titulo" => "Metástasis intracardiacas múltiples. Hallazgo inesperado en el diagnóstico de cáncer de pulmón" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "319" "paginaFinal" => "320" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple intracardiac metastases. Unexpected finding in the diagnosis of lung cancer" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 844 "Ancho" => 1500 "Tamanyo" => 207216 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Sabatel-Perez, B. Santos González, L. Rodríguez-Padial" "autores" => array:3 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Sabatel-Perez" ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Santos González" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Rodríguez-Padial" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887419301201" "doi" => "10.1016/j.rceng.2018.11.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301201?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519301043?idApp=WRCEE" "url" => "/00142565/0000022000000005/v2_202006060645/S0014256519301043/v2_202006060645/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2254887420300370" "issn" => "22548874" "doi" => "10.1016/j.rceng.2020.01.002" "estado" => "S300" "fechaPublicacion" => "2020-06-01" "aid" => "1798" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2020;220:321-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Correspondence" "titulo" => "Publication of abstracts and oral communications presented at the XXXVI Congress of the Spanish Society of Internal Medicine" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "321" "paginaFinal" => "322" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Publicación de los pósteres y comunicaciones orales presentados en el XXXVI Congreso de la Sociedad Española de Medicina Interna" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Porcel, L. Liesa, G. Bagüeste, S. Bielsa" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Porcel" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Liesa" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Bagüeste" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Bielsa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256520300321" "doi" => "10.1016/j.rce.2020.01.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256520300321?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887420300370?idApp=WRCEE" "url" => "/22548874/0000022000000005/v1_202006100751/S2254887420300370/v1_202006100751/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2254887419301018" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.12.011" "estado" => "S300" "fechaPublicacion" => "2020-06-01" "aid" => "1662" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2020;220:317-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Medicine in Images" "titulo" => "Yellow keratotic palmoplantar papules and chronic abdominal pain" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "317" "paginaFinal" => "318" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pápulas amarillas queratósicas palmoplantares y dolor abdominal crónico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 930 "Ancho" => 1354 "Tamanyo" => 147857 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. Navarro-Triviño, R. Ruíz-Villaverde" "autores" => array:2 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Navarro-Triviño" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Ruíz-Villaverde" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256519301031" "doi" => "10.1016/j.rce.2018.12.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519301031?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301018?idApp=WRCEE" "url" => "/22548874/0000022000000005/v1_202006100751/S2254887419301018/v1_202006100751/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "Medicine in Image" "titulo" => "Multiple intracardiac metastases. Unexpected finding in the diagnosis of lung cancer" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "319" "paginaFinal" => "320" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F. Sabatel-Perez, B. Santos González, L. Rodríguez-Padial" "autores" => array:3 [ 0 => array:4 [ "nombre" => "F." "apellidos" => "Sabatel-Perez" "email" => array:1 [ 0 => "fernandosabatelperez@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Santos González" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Rodríguez-Padial" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cardiología, Complejo Hospitalario de Toledo, Toledo, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Metástasis intracardiacas múltiples. Hallazgo inesperado en el diagnóstico de cáncer de pulmón" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 846 "Ancho" => 1500 "Tamanyo" => 209448 ] ] ] ] "textoCompleto" => "A 70-year-old man was admitted to the emergency department for symptoms of cough, hemoptysis, dyspnea and constitutional syndrome. Chest radiography revealed a left parahiliar mass (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, white arrow). Suspecting lung cancer, we requested computed axial tomography (CAT), which revealed a mass suggestive of pulmonary neoplasia, with several intracardiac masses and impairment of the left pulmonary veins (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B and C, white asterisk, white arrow primary tumor). These masses were confirmed with transthoracic ultrasonography, at the apex of the left ventricle and the interventricular septum (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D, white asterisks). We suspected that these masses were intracavitary thrombi or metastases. Subsequent cardiac magnetic resonance imaging (C-MRI) suggested a metastatic origin for the intracardiac masses, probably by a hematogenous pathway given the observed infiltration of the pulmonary veins (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E, white asterisks, white arrow primary tumor). Ultimately, the pathological study of the endobronchial biopsy confirmed the diagnosis of pulmonary adenocarcinoma (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>F).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Metastatic or secondary cardiac tumors are almost 30 times more common than primary tumors and have an incidence rate approaching 13% in series of autopsies of malignant tumors. Approximately 28% of the tumors are diagnosed in patients with lung cancer. For the diagnosis, echocardiography is the main tool. CAT and C-MRI are useful for defining the tumor anatomy and invasion of cardiac structures. Treatment consists of surgical resection, although the tumors usually have a poor prognosis, and most treatments are palliative.AuthorshipConcept and design of the manuscript: Fernando Sabatel-Perez.Data collection: Fernando Sabatel-Perez and Belén Santos González.Data analysis and interpretation: Fernando Sabatel-Perez.Drafting, review and approval of the submitted manuscript: Fernando Sabatel-Perez, Belén Santos González and Luis Rodríguez-Padial." "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Authorship" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-10-11" "fechaAceptado" => "2018-11-01" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Sabatel-Perez F, Santos González B, Rodríguez-Padial L. Metástasis intracardiacas múltiples. Hallazgo inesperado en el diagnóstico de cáncer de pulmón. Rev Clin Esp. 2020;220:319–320." ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 846 "Ancho" => 1500 "Tamanyo" => 209448 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000005/v1_202006100751/S2254887419301201/v1_202006100751/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000005/v1_202006100751/S2254887419301201/v1_202006100751/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301201?idApp=WRCEE"]

Revista Clínica Española (English Edition)

ISSN: 2254-8874

Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI).
The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Ten issues are published each year, including mostly originals, reviews and consensus documents.

Indexed in:

Current Contents / Clinical Medicine , JCR / SCI-Expanded, Index Medicus / Medline y Excerpta Medica / EMBASE

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

2.3

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

0.7

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.162

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.211

View more metrics

Open Access Option

Journal Information

Previous article | Next article

Vol. 220. Issue 5.

Pages 319-320 (June - July 2020)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Revista Clínica Española (English Edition)

Member of the society

Subscriber

Contact

Member

Si es usted socio de FESEMI siga los siguientes pasos:

Diríjase desde aquí a la web de la >>>FESEMI<<< e inicie sesión mediante el formulario que se encuentra en la barra superior, pulsando sobre el candado.