Poster Session: POSTER 4: Metastasis in heart from a primary carcinoma of hypopharynx -A rare event by B.D. Gupta and colleagues :Anil Aggrawal's Internet Journal of Forensic Medicine, Vol.10, No. 2, July - December 2009
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Received: January 25, 2009
Accepted: March 29, 2009
Ref: Gupta B.D., Vaghela, P.C., Singh, O.G. and Mehta, R. Metastasis in heart from a primary carcinoma of hypopharynx -A rare event. Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology, 2009; Vol. 10, No. 2 (July - December 2009): ; Published: July 1, 2009, (Accessed: 

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Poster Session: Poster 4

Metastasis in heart from a primary carcinoma of hypopharynx -A rare event

B. D. Gupta*, P. C. Vaghela**, O. G. Singh**, Rahul Mehta***
* Prof & Head, **Tutor, ***PG Student
Forensic Medicine Department
M.P.Shah Medical College, Jamnagar
India


Case Report

Heart shows multiple nodules of metastasis (Please see arrows)
Picture 1: Heart shows multiple nodules of metastasis (Please see arrows)
Cut surface of heart shows multiple nodules of metastasis. (Please see arrows)
Cut surface of heart shows multiple nodules of metastasis. (Please see arrows)
Heart muscles infiltrated with tumour cells. (x 40) Rectangular area shows heart tissue. Arrow shows infiltration of tumour cells.
Picture 3: Heart muscles infiltrated with tumour cells. (x 40) Rectangular area shows heart tissue. Arrow shows infiltration of tumour cells.
Heart muscles infiltrated with tumour cells. (x 100). Oval area shows infiltration of tumour cells. Region outside the oval area shows heart tissue.
Picture 4: Heart muscles infiltrated with tumour cells. (x 100). Oval area shows infiltration of tumour cells. Region outside the oval area shows heart tissue.
Heart muscles and tumour cells. (x 400). Arrow top left shows infiltration of tumour cells. Arrow bottom right shows heart tissue.
Picture 5: Heart muscles and tumour cells. (x 400). Arrow top left shows infiltration of tumour cells. Arrow bottom right shows heart tissue.
Liver (gross) shows multiple nodules of metastasis. (Please see arrows)
Picture 6: Liver (gross) shows multiple nodules of metastasis. (Please see arrows).
Liver (cut surface) shows multiple nodules of metastasis. (Please see arrows)
Picture 7: Liver (cut surface) shows multiple nodules of metastasis. (Please see arrows)
Liver - normal architecture on left half and tumour mass on right half. (X100) . Top arrow pointing to left shows normal tissue. Bottom arrow pointing to right shows infiltration of tumour cells.
Picture 8: Liver - normal architecture on left half and tumour mass on right half. (X100) . Top arrow pointing to left shows normal tissue. Bottom arrow pointing to right shows infiltration of tumour cells.
Liver - normal architecture on left half and tumour mass on right half. (x400) . Top arrow pointing to left shows normal tissue. Bottom arrow pointing to right shows infiltration of tumour cells
Picture 9: Liver - normal architecture on left half and tumour mass on right half. (x400) . Top arrow pointing to left shows normal tissue. Bottom arrow pointing to right shows infiltration of tumour cells
Lung (gross) - upper portion shows firm area, which is cut. Arrow shows nodules of metastasis
Picture 10: Lung (gross) - upper portion shows firm area, which is cut. Arrow shows nodules of metastasis.
Lung - left half shows lung tissue and right half shows infiltration of tumour cells. (x100)
Picture 11: Lung - left half shows lung tissue and right half shows infiltration of tumour cells. (x100)
Stomach wall shows islands of tumour cells. (x100) (see arrow)
Picture 12: Stomach wall shows islands of tumour cells. (x100) (see arrow)
Please click all pics to enlarge

A case of carcinoma of hypopharynx was brought to the casualty department of G.G. hospital, Jamnagar, Gujarat. The patient was found dead on arrival.

A medico legal postmortem examination was conducted. Photographs are displayed to show gross and microscopic appearance of secondary metastasis in the heart and other organs. Here our main emphasis lies on the cardiac metastasis, which is a very rare event.

(N.B. Click all pictures to enlarge!)

*Corresponding author and requests for reprints:
B.D. Gupta
Professor of Forensic Medicine
M.P.Shah Medical College
Jamnagar 361008
India

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