Double Primary Cancers: Intrahepatic Cholangiocarcinoma with Myocardial Metastases and Lung Squamous Cell Carcinoma

Takaaki Murakami; Hiroki Nishikawa; Yorimitsu Koshikawa; Yoshihiro Okabe; Tomoko Wakasa; Yukio Osaki

doi:10.2169/internalmedicine.51.8218

CASE REPORTS

Double Primary Cancers: Intrahepatic Cholangiocarcinoma with Myocardial Metastases and Lung Squamous Cell Carcinoma

Takaaki Murakami, Hiroki Nishikawa, Yorimitsu Koshikawa, Yoshihiro Okabe, Tomoko Wakasa, Yukio Osaki

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Keywords: myocardial metastasis, intrahepatic cholangiocarcinoma, lung squamous cell carcinoma, contrast enhanced CT, antemortem diagnosis

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 17 Pages 2329-2335

DOI https://doi.org/10.2169/internalmedicine.51.8218

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Abstract

We herein present a rare case of myocardial metastases from intrahepatic cholangiocarcinoma. The patient was a 68-year-old man diagnosed with stage IVb intrahepatic cholangiocarcinoma. Growing low-density nodules at the cardiac interventricular septum and the left lateral wall were found on contrast enhanced computed tomography (CECT). He died and an autopsy was performed. Intrahepatic cholangiocarcinoma was found to have metastasized to the myocardium, and these myocardial metastases conformed to the low-density nodules detected on CECT. A hilar nodule in the lung was revealed to be lung squamous cell carcinoma. This was a rare case of intrahepatic cholangiocarcinoma with myocardial metastases and lung squamous cell carcinoma.

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