Myocardial Metastasis of Tongue Cancer: A Rare Localization

Marco Carbonaro; Giulia Russo; Silvia Mezi; Giuseppe Mancuso; Vincenzo Paravati; Francesco Barillà; Carlo Gaudio; Giuseppe Pannarale; Concetta Torromeo

doi:10.12659/AJCR.927459

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

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Background Case Report Discussion Conclusions References:

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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.

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Myocardial Metastasis of Tongue Cancer: A Rare Localization

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