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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 70-year-old man was admitted to the emergency department for symptoms of cough&#44; hemoptysis&#44; dyspnea and constitutional syndrome&#46; Chest radiography revealed a left parahiliar mass &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#44; white arrow&#41;&#46; Suspecting lung cancer&#44; we requested computed axial tomography &#40;CAT&#41;&#44; which revealed a mass suggestive of pulmonary neoplasia&#44; with several intracardiac masses and impairment of the left pulmonary veins &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B and <span class="elsevierStyleSmallCaps">C</span>&#44; white asterisk&#44; white arrow primary tumor&#41;&#46; These masses were confirmed with transthoracic ultrasonography&#44; at the apex of the left ventricle and the interventricular septum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#44; white asterisks&#41;&#46; We suspected that these masses were intracavitary thrombi or metastases&#46; Subsequent cardiac magnetic resonance imaging &#40;C-MRI&#41; suggested a metastatic origin for the intracardiac masses&#44; probably by a hematogenous pathway given the observed infiltration of the pulmonary veins &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>E&#44; white asterisks&#44; white arrow primary tumor&#41;&#46; Ultimately&#44; the pathological study of the endobronchial biopsy confirmed the diagnosis of pulmonary adenocarcinoma &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>F&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Metastatic or secondary cardiac tumors are almost 30 times more common than primary tumors and have an incidence rate approaching 13&#37; in series of autopsies of malignant tumors&#46; Approximately 28&#37; of the tumors are diagnosed in patients with lung cancer&#46; For the diagnosis&#44; echocardiography is the main tool&#46; CAT and C-MRI are useful for defining the tumor anatomy and invasion of cardiac structures&#46; Treatment consists of surgical resection&#44; although the tumors usually have a poor prognosis&#44; and most treatments are palliative&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authorship</span><p id="par0015" class="elsevierStylePara elsevierViewall">Concept and design of the manuscript&#58; Fernando Sabatel-Perez&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Data collection&#58; Fernando Sabatel-Perez and Bel&#233;n Santos Gonz&#225;lez&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Data analysis and interpretation&#58; Fernando Sabatel-Perez&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Drafting&#44; review and approval of the submitted manuscript&#58; Fernando Sabatel-Perez&#44; Bel&#233;n Santos Gonz&#225;lez and Luis Rodr&#237;guez-Padial&#46;</p></span></span>"
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Medicine in Image
DOI: 10.1016/j.rceng.2018.11.015
Multiple intracardiac metastases. Unexpected finding in the diagnosis of lung cancer
Metástasis intracardiacas múltiples. Hallazgo inesperado en el diagnóstico de cáncer de pulmón
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F. Sabatel-Perez
Corresponding author
fernandosabatelperez@gmail.com

Corresponding author.
, B. Santos González, L. Rodríguez-Padial
Servicio de Cardiología, Complejo Hospitalario de Toledo, Toledo, Spain

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