Medica Jadertina, Vol. 43 No. 1-2, 2013.
Stručni rad
Background of extreme weight loss and weakness - right atrial myxoma
Tonći Batinić
; Klinička bolnica Split, Odjel za radiologiju
Cristijan Bulat
; Klinička bolnica Split, Klinika za kardijalnu kirurgiju
Svjetlana Karabuva
; Klinička bolnica Split, Klinika za kardiologiju
Dražen Zekanović
; Opća bolnica Zadar, Odjel za unutarnje bolesti, Odsjek za kardiologiju
Zorislav Šušak
; Opća bolnica Zadar, Odjel za unutarnje bolesti, Odsjek za kardiologiju
Damir Bonacin
; Klinička bolnica Split, Klinika za gastroenterologiju i hepatologiju
Vedran Carević
; Klinička bolnica Split, Odjel za kardiologiju
Damir Fabijanić
orcid.org/0000-0002-4199-3905
; Klinička bolnica Split, Odjel za kardiologiju
Sažetak
A 63-year-old man was admitted in hospital because of extreme weight loss (about 20 kg within 6 months), weakness, fatigue, exertional dyspnea, periods of hacking cough, and laboratory disturbances (elevated erythrocyte sedimentation rate, increased C-reactive protein values, disturbances in the protein electrophoresis), with no proper etiology. Before admission he was extensively examined due to the commonest reasons for the mentioned symptoms – occult malignancy, hematological, autoimmune, and infectious diseases. Since extensive diagnostic evaluation performed before hospitalization showed no discrepancies, we suspected a cardiac myxoma. Echocardiography revealed a large tumor in the right atrium.
The histology of surgically removed tumor revealed a cardiac myxoma. Five months later, his body mass increased by 15 kg. The patient remains well, with normal echocardiographic and laboratory findings. Our case suggests that echocardiography should be considered early in the examination of patients with markedly constitutional symptoms and laboratory disturbances in order to detect rare but treatable heart tumors.
Ključne riječi
constitutional symptoms; echocardiography; myxoma; weight loss
Hrčak ID:
100570
URI
Datum izdavanja:
23.4.2013.
Posjeta: 1.824 *