Cardiac metastasis from squamous cell carcinoma of gallbladder

Masashi Suganuma, Yoshihisa Marugami, Yoichi Sakurai, Masahiro Ochiai, Shigeru Hasegawa, Hiroki Imazu, Toshiki Matsubara, Takahiko Funabiki, Makoto Kuroda

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

A 65-year-old woman was admitted to our hospital with the diagnosis of gallbladder tumor. Right extended hepatic lobectomy plus lymph node dissection of the hepatoduodenal ligament and left hepaticojejunostomy with Roux-en-Y reconstruction was performed in July, 1993. The gallbladder tumor was histologically proven to be squamous cell carcinoma. Seventeen months later, the patient experienced dyspnea and pitting edema of the lower legs and was admitted, in December 1994, with a diagnosis of heart failure. Despite intensive cardiac support, she died 12 days after the second admission. Autopsy revealed multiple cardiac tumors in the left and right ventricles, left atrium, left coronary artery, and left diaphragm. Histologically, these tumors were shown to be squamous cell carcinoma, considered to have metastasized from the primary gallbladder carcinoma. As neither local recurrence of the gallbladder carcinoma nor any lymph node metastasis was found, the cardiac metastasis of the gall bladder carcinoma may have occurred via the hematogenous route. Although rare, this route of cardiac metastasis of gallbladder carcinoma may be an important aspect of distant metastasis, which should be monitored for during follow-up after resection of the primary tumor.

Original languageEnglish
Pages (from-to)852-856
Number of pages5
JournalJournal of Gastroenterology
Volume32
Issue number6
DOIs
Publication statusPublished - 12-1997

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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