Work

Cardiac metastasis mimicking acute myocardial infarction in a patient with urachal carcinoma: a case report and diagnostic dilemma

Year: 2025

Type: article

Abstract: Urachal carcinoma (Ur C) is a rare invasive tumor, prevalent in males, with a poor prognosis, and most of them are in an advanced stage at the time of diagnosis. Cardiac metastatic tumors are relatively rare and usually originate from distant metastases of advanced malignant tumors. When the tumor infiltrates the myocardial tissue and affects the repolarization of the diseased myocardium, the electrocardiogram may show changes in the ST-T segment, which is similar to the electrocardiogram of acute myocardial infarction. During clinical diagnosis and treatment, cardiac metastases are mostly easy to be misdiagnosed or overlooked when the relevant tumor history is unknown. In this paper, we discuss a case of cardiac metastasis of urachal carcinoma suspected to be acute myocardial infarction, and analyze and summarize its clinical features, diagnostic and therapeutic process, and abnormal electrocardiographic changes. In order to provide a reference for the diagnosis and treatment of patients with pericardial metastasis of clinically malignant tumors.

Source: Frontiers in Cardiovascular Medicine

DOI: 10.3389/fcvm.2025.1672655

Authors: Huanglie Xie, Ke Zhang, Pengyu Han, Chaoyang Zheng

Institutions: Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine

Language: English

Topic: Cardiac tumors and thrombi

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801