Cardiac metastasis: a rare involvement of primitive neuroectodermal tumour of the lung

A 15 year-old adolescent was referred with 2 month history of worsening of breathlessness and haemoptysis. He also reported constitutional symptoms of fever, poor appetite and weight loss. The chest roentgenogram showed a massive right pleural effusion with apparent cardiomegaly. The cardiac silhoue...

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Bibliographic Details
Main Authors: Ngow, Harris Abdullah, Wan Khairina, Wan Mohd Nowalid
Format: Article
Language:English
English
Published: Springer Netherlands 2011
Subjects:
Online Access:http://irep.iium.edu.my/5103/
http://irep.iium.edu.my/5103/
http://irep.iium.edu.my/5103/
http://irep.iium.edu.my/5103/1/21213128
http://irep.iium.edu.my/5103/2/PNET.pdf
Description
Summary:A 15 year-old adolescent was referred with 2 month history of worsening of breathlessness and haemoptysis. He also reported constitutional symptoms of fever, poor appetite and weight loss. The chest roentgenogram showed a massive right pleural effusion with apparent cardiomegaly. The cardiac silhouette over the right heart border was obliterated and the mediastinum was widened. Computed tomogram of the thorax showed a bulky heterogeneous mass in the right lung with extension to the heart. Subsequent CT guided lung biopsy revealed Primitive Neuroectodermal tumour (PNET). Here, we illustrate the clinical course of an aggressive pulmonary PNET with lethal cardiac metastasis.