Asymptomatic polypoidal intracavitary cardiac metastases from pulmonary adenocarcinoma
- K Gupta1,
- K Joshi1,
- A N Aggarwal2,
- K Vaiphei3
- 1Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
- 2Department of Pulmonary Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
- 3Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
- Dr Kirti Gupta, Department of Histopathology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India; kirtigupta10{at}yahoo.co.in
- Accepted 4 January 2007
A young male presented with right flank pain, fever, cough, loss of weight and appetite. CT of the abdomen revealed a right suprarenal cystic mass measuring 10×8 cm with para-aortic lymphadenopathy along with inferior vena cava (IVC) thrombus. The patient died following cardiac arrest.
At autopsy, the right and left adrenals weighed 160 g and 11 g, respectively. The right adrenal mass (9×8 cm) had a variegated appearance with geographic areas of necrosis. Histology revealed peripherally compressed adrenal cortex with tumour cells showing marked atypia. A thrombus was seen in the right adrenal vein, extending to the IVC. Metastatic deposits were noted in the left adrenal gland, …
