Diagnostic Pathway From Incidental Mass to Metastatic Melanoma: Role of Multimodal Imaging and Medical Therapy

Konstantinos Avranas; Christoph Eisenbach; Christa Flechtenmacher; Grigorios Korosoglou

doi:10.1016/j.jaccas.2023.102146

Diagnostic Pathway From Incidental Mass to Metastatic Melanoma: Role of Multimodal Imaging and Medical Therapy

JACC Case Rep. 2024 Jan 3;29(1):102146. doi: 10.1016/j.jaccas.2023.102146.

Authors

Konstantinos Avranas¹, Christoph Eisenbach², Christa Flechtenmacher³, Grigorios Korosoglou^{4

5}

Affiliations

¹ Department of Cardiology, Asklepios Clinic Langen, Langen, Germany.
² Gesundheitszentren Rhein-Neckar Hospital Weinheim, Department of Gastroenterology and Diabetology, Weinheim, Germany.
³ University of Heidelberg, Institute of Pathology, Heidelberg, Germany.
⁴ GRN Hospital Weinheim, Department of Cardiology, Vascular Medicine and Pneumology, Weinheim, Germany.
⁵ Weinheim Cardiac Imaging Center, Hector Foundation, Weinheim, Germany.

Abstract

We present a case of detection of a right atrial mass during surveillance echocardiography, mimicking myxoma. Cardiac magnetic resonance and computed tomography revealed infiltration into the pericardium, suggesting malignancy. Abdominal computed tomography showed multiple liver masses that were histologically positive for metastatic amelanotic melanoma. Under immunotherapy adequate remission was achieved.

Keywords: cardiac magnetic resonance; computed tomography; echocardiography; histology; immunotherapy; transesophageal echocardiography.

Publication types

Case Reports