METASTATIC CARDIAC MELANOMA WITH T-WAVE INVERSIONS

Authors

  • Usman Ali Royal United Hospital, Bath, UK
  • Ahmed Hailan Morriston Hospital, Swansea, UK
  • Najeebullah Khan Northampton General Hospital, UK
  • Saira Bano Khwaja N/A

Abstract

A woman in her 70's with a background of ocular malignant melanoma treated more than a decade ago was admitted to hospital with symptoms of dysphagia and exertional shortness of breath. Routine ECG showed a grossly abnormal ECG with T wave inversion in inferolateral leads and some anterior leads. Consequently, echocardiography and CT demonstrated the presence of a large pericardial tumour which on biopsy was found to be metastatic melanoma. Patient was treated with palliative radiotherapy with only temporary initial benefit.Keywords: Malignant Melanoma; Cardiac Metastasis; Cardiac Tumours; Pericardial Tumours

Author Biographies

Usman Ali, Royal United Hospital, Bath, UK

ST4, Pulmonology

Ahmed Hailan, Morriston Hospital, Swansea, UK

Consultant Cardiologist

Najeebullah Khan, Northampton General Hospital, UK

CT1 General Medicine

Saira Bano Khwaja, N/A

No work palce as of yet.

References

Chen RH, Gaos CM, Frazier OH. Complete resection of a right atrial intracavitory metastatic melanoma. Ann Thorac Surg 1996;61(4):1255–7.

Savoia P, Fierro MT, Zaccagna A, Bernengo MG. Metastatic melanoma of the heart. J Surg Oncol 2000;75(3):203–7.

Gibbs P, Cebon JS, Calafiore P, Robinson WA. Cardiac metastases from malignant melanoma. Cancer 1999;85(1):78–84.

Scottish Intercollegiate Guidelines Network. Cutaneous melanoma: a national clinical guideline. Edinburgh: Scottish Intercollegiate Guidelines Network; 2003.

Reynen K, Köckeritz U, Strasser RH. Metastases to the heart. Ann Oncol 2004;15(3):375–81.

Rathi VK, Williams RB, Yamrozik J, Grill H, Biederman RW. Cardiovascular magnetic resonance of the charcoal heart. J Cardiovasc Magn Reson 2008;10:37.

Published

2018-03-16

Issue

Vol. 30 No. 2 (2018): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

CASE REPORT

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.

Most read articles by the same author(s)