PMC3649949_01
Cardiac involvement by the tumor. A: Image from transthoracic echocardiogram showing a mass attached to the apex of the right ventricle with a pericardial effusion (white arrow). RV = right ventricle; RA = right atrium; LV = left ventricle; LA = left atrium; PE = pericardial effusion. B: Photography derived from the autopsy showing opened right ventricle with a mass attached to the endocardial surface of the right ventricle (white arrow). RV = right ventricle. C: Polypoid cardiac mass (x 250) (black arrow). D: Emboli of neoplastic cells in myocardial and endocardial vessels (x 400) (black arrows).
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F1
A transthoracic echocardiography showed right ventricular (RV) dilatation, pericardial effusion, and a mobile mass attached to the endocardial surface of the apex of the RV (Figure 1, panel A). A polypoid mass was found attached to the apex of the RV (Figure 1, panels B and C). Neoplastic emboli in the endocardial and epicardial vessels, and infiltration surrounding the coronary arteries were also detected (Figure 1, panel D).