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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2023; 11(5): 1206-1216
Published online Feb 16, 2023. doi: 10.12998/wjcc.v11.i5.1206
Published online Feb 16, 2023. doi: 10.12998/wjcc.v11.i5.1206
Incidental right atrial mass in a patient with secondary pancreatic cancer: A case report and review of literature
Agnese Maria Fioretti, Stefano Oliva, Cardio-Oncology, IRCCS Istituto Tumori “Giovanni Paolo II”, Bari 70124, Italy
Tiziana Leopizzi, Cardiology and Intensive Care Unit, Ospedale SS. Annunziata, Taranto 74121, Italy
Daniele La Forgia, Donato Oreste, Department of Radiology, IRCCS Istituto Tumori “Giovanni Paolo II”, Bari 70124, Italy
Pietro Scicchitano, Cardiology and Intensive Care Unit, Ospedale “Fabio Perinei”, Altamura (Bari) 70022, Italy
Annarita Fanizzi, Raffaella Massafra, Department of Oncology, IRCCS Istituto Tumori “Giovanni Paolo II”, Bari 70124, Italy
Author contributions: Fioretti AM, Leopizzi T and La Forgia D conceived and wrote the original draft of the manuscript; Scicchitano P, Oreste D and Fanizzi A supervised the manuscript; Massafra R and Oliva S reviewed and edited the manuscript; All authors contributed to the manuscript and approved the submitted version.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Agnese Maria Fioretti, MD, Doctor, Cardio-Oncology, IRCCS Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco 65, Bari 70124, Italy. a.fioretti@oncologico.bari.it
Received: November 16, 2022
Peer-review started: November 16, 2022
First decision: November 30, 2022
Revised: November 30, 2022
Accepted: January 10, 2023
Article in press: January 10, 2023
Published online: February 16, 2023
Processing time: 89 Days and 13.1 Hours
Peer-review started: November 16, 2022
First decision: November 30, 2022
Revised: November 30, 2022
Accepted: January 10, 2023
Article in press: January 10, 2023
Published online: February 16, 2023
Processing time: 89 Days and 13.1 Hours
Core Tip
Core Tip: Cardiac masses are rare occurrences. In this case report, the diagnosis of a right atrial mass during cardioncological follow-up of a patient with secondary metastatic pancreatic cancer and a recent diagnosis of cancer-associated thrombosis was challenging. Severe thrombocytopenia and the rapid worsening of the patient’s condition hindered a complete clinical workup. However, echocardiographic differentiation between thrombi and tumors lead to the diagnosis of a new venous thromboembolism event. We also proposed a diagnostic flowchart to aid diagnostic decision making in the case of an incidental atrial mass.