ecancermedicalscience

Case Report

Case report of a 65-year-old man with biatrial metastatic localisation from poorly differentiated cutaneous squamous cell carcinoma

19 Nov 2019
Lorenzo Dottorini, Italo Sarno, Pasquale Scopelliti, Gianluca Cotroneo, Maribel Duluc, Alessandro Iaculli, Nicola Giuntini, Federica Brena, Giuseppe Nastasi

We report the case of an immunocompetent 65-year-old man affected by cutaneous squamous cell carcinoma (cSCC) with lung and biatrial metastatic localisation. In May 2018, the patient underwent lower limb amputation due to the finding of a large ulceration which upon biopsy was found to be a poorly differentiated squamous cell carcinoma (SCC), ulcerated, full-thickness infiltrating from the skin to the underlying bone tissue. After 1 month, a radiological restaging found multiple pulmonary localisations and a right-atrial metastatic localisation. The patient was then studied in-depth and a transesophageal echocardiogram found that the patient had two 2 and 5 cm metastatic localisations in the left atrium and a 3-cm metastatic localisation in the right atrium. Informed about the clinical situation and about the risks of a chemotherapeutic treatment, the patient decided not to start any treatment. This case represents, to our knowledge, the only case of a biatrial metastatic localisation from cSCC and is representative of how cardiac symptoms and signs in patients affected by this disease must be evaluated.

Article metrics: 83 views
83

Related Articles

Cristóbal Maiz, Fernando Silva, Francisco Domínguez, Héctor Galindo, Mauricio Camus, Augusto León, David Oddó, Alejandra Villarroel, Dravna Razmilic, María Elena Navarro, Lidia Medina, Tomás Merino, Eugenio Vines, José Peña, Daniela Maldonado, Mauricio P Pinto, Francisco Acevedo, Cesar Sánchez
Lawrence Drudge-Coates, Vitra Khati, Randolph Ballesteros, Clarissa Martyn-Hemphill, Christian Brown, James Green, Ben Challacombe, Gordon Muir
Georges El Hachem, Francisco Oliveira Rocha, Thierry Pepersack, Youssef Jounblat, Annie Drowart, Lissandra Dal Lago