Cardiac metastasis in a patient with clear cell renal cell carcinoma who underwent multimodality therapy for multiple metastases after radical nephrectomy

Shinichi Takeuchi, Kosuke Mizutani, Koji Iinuma, Yuka Muramatsu-Maekawa, Kengo Horie, Taku Kato, Keita Nakane, Tomohiro Tsuchiya, Masahiro Nakano, Takuya Koie

Research output: Contribution to journalArticlepeer-review

Abstract

The patient underwent laparoscopic left radical nephrectomy for clear cell renal cell carcinoma (ccRCC). After surgery, the patient had multiple lung metastases and underwent the combination therapy of radiofrequency ablation, interferon-alpha, and inteleukin-2. Thereafter, computed tomography showed multiple lymph node and brain metastases. The patient was administered targeted therapy and radiation. Eventually, the patient suddenly complained of dyspnea. An echocardiogram, coronary angiography and magnetic resonance imaging suggested acute heart failure and pericardial effusion due to a metastatic tumor in the cardiac anteroseptal and posterior wall. Nivolumab was administered for cardiac metastases. The patient has been in stable condition with no progression of cardiac metastases after the administration of nivolumab for 22 months.

Original languageEnglish
Pages (from-to)197-201
Number of pages5
JournalActa Urologica Japonica
Volume65
Issue number6
DOIs
Publication statusPublished - 06-2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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