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Metastases of the malignant melanoma to myocardium – a rare cause of the heart failure


Authors: L. Mihaličová 1;  A. Gavel 2;  M. Novačeková 3;  P. Bališ 4;  S. Dražilová 1
Authors place of work: Oddelenie vnútorného lekárstva, Nemocnica Poprad a. s., Primár: MUDr. Sylvia Dražilová, PhD. 1;  Súdnolekárske a patologicko-anatomícké pracovisko ÚDZS, Poprad Primár: MUDr. Lukáš Hamerlik 2;  Patologická anatómia, Nemocnica Poprad a. s. Primár: MUDr. Mária Novačeková 3;  Ústav normálnej a patologickej fyziológie SAV, Bratislava Vedúci: RNDr. Iveta Bernátová, DrSc. 4
Published in the journal: Prakt. Lék. 2017; 97(6): 274-278
Category: Case Report

Summary

The malignant melanoma is an aggressive disease with a high potential of spreading metastases to any organ, heart included. We are presenting a patient, by whom a generalisation of the heart disease was manifested by a heart failure sixteen years after extirpation of malignant melanoma. The diagnose was made after patient´s death. Studies of necroptic material show that malignant melanoma creates metastases to heart in 50–64% of the cases. However, because of the default of specific clinical cases and the limited possibilities of using imaging techniques the diagnose is mostly declared after the death of the patient. That is why it is necessary in patients with history taking of malignant melanoma to think about tumour generalisation by every cardiac symptom.

Keywords:
liver cirrhosis – hearth failure – melanoma – metastasis


Zdroje

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Štítky
General practitioner for children and adolescents General practitioner for adults
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