Evidence map›Paper›PMID 34763167›Full record

ArticleInternational journal of surgery case reports2021

Cardiac metastasis of triple-negative breast cancer mimicking myxoma: A case report.

Muhammad Nuralim Mallapasi, Jayarasti Kusumanegara, Peter Kabo, Umar Usman, Mario Tri Mulyono, Muhammad Faruk

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Massive Mysteries.The American journal of cardiology · 2023
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Muhammad Nuralim MallapasiDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia; Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Wahidin Sudirohusodo Hospital, Makassar, Indonesia. Electronic address: nuralim811@gmail.com.
Jayarasti KusumanegaraDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia; Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Wahidin Sudirohusodo Hospital, Makassar, Indonesia. Electronic address: jayarasti@gmail.com.
Peter KaboDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. Electronic address: drpeterkabo@gmail.com.
Umar UsmanDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. Electronic address: justumarusman@gmail.com.
Mario Tri MulyonoDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. Electronic address: mariotrimulyono@gmail.com.
Muhammad FarukDepartment of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. Electronic address: faroex8283@gmail.com.
Hasanuddin University · IDDr. Hasan Sadikin General Hospital · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMetastatic heart tumors are rare, occurring in 1.5-20% of cancer patient autopsies. Lymphoma, melanoma, leukemia, and carcinomas of the lung, esophagus, and breast are the most prevalent causes of these metastases, although they can originate from any malignant tumor. Here we report a case of triple-negative breast cancer with cardiac metastasis mimicking myxoma. PRESENTATION OF CASE: A 39-year-old woman presented at the emergency department with shortness of breath. Vital signs were hypotension and tachypnea. There were coarse crackles at the bases of both lungs. Electrocardiography results showed a normal sinus rhythm. Chest X-ray revealed cardiomegaly with signs of pulmonary edema. Echocardiography revealed a large left atrial (LA) mass protruding to the mitral valve and attached to the interatrial septum during diastole. The patient was diagnosed with cardiogenic shock, acute kidney injury, elevated liver enzymes, and an LA mass. Surgical excision through median sternotomy was planned. Intraoperatively, an LA mass was found. The histopathology evaluation showed an LA mass with invasive ductal carcinoma of metastatic breast tumors. Immunohistochemistry (IHC) confirmed the diagnosis of triple-negative breast cancer that had metastasized to the heart. Postoperative echocardiography confirmed complete excision of the tumor. DISCUSSION: Breast cancer that has metastasized to the heart is uncommon. This patient was referred to the surgical oncology section for the treatment of triple-negative breast cancer with cardiac metastasis.

conclusionA heart mass should be suspected of having metastasized if the patient has a history of malignancy, even if it occurred several years earlier.

Indexed as

Breast cancerCardiac tumorCase reportEchocardiographyLeft atriumMyxoma

Identifiers

PMID34763167
PMCPMC8591356
OpenAlexW3209825003

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.