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Echocardiography and chest CT showed an RV mass, treated with FOLFOX plus bevacizumab and enoxaparin, followed by palliative care after progression.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/metastasis-of-colorectal-adenocarcinoma-to-the-right-ventricle-in-a-young-man-a-case-report/382236/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/metastasis-of-colorectal-adenocarcinoma-to-the-right-ventricle-in-a-young-man-a-case-report/382236.png","ImageObject",300,407,{"name":42,"@type":43},"Emma Wilson","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-09-24",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why are cardiac metastases from metastatic colorectal cancer difficult to diagnose and treat?","Question",{"text":63,"@type":64},"Cardiac involvement is more commonly metastatic than primary, but clinical recognition of cardiac metastasis from mCRC remains rare. It creates ongoing diagnostic and therapeutic challenges.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What symptoms led to the detection of the right ventricle mass in the reported patient?",{"text":68,"@type":64},"During the second chemotherapy cycle, the patient developed positional variation in pulse rate. Echocardiography and chest CT subsequently identified an RV mass.",{"name":70,"@type":61,"acceptedAnswer":71},"How was the patient treated, and what was the outcome?",{"text":72,"@type":64},"The patient received FOLFOX chemotherapy plus bevacizumab and enoxaparin, with an initial reduction in mass size. A follow-up CT after 9 months showed progression, chemotherapy was stopped, and palliative care was provided.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},382236,1790717158,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":55,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Article   \nCase report    \nMetastasis of colorectal adenocarcinoma to the right ventricle in a young man: a case report  \nAhmed Badheeb, Faisal Ahmed, Yahya Alhosni, Mohamed Badheeb, Hamoud Obied, Islam Seada  \nCorresponding author: Ahmed Badheeb, Department of Oncology, King Khalid Hospital, Najran, Saudi Arabia. [Badheebdr@gmail.com](Badheebdr@gmail.com)  \nReceived: 28 Oct 2022-Accepted: 08 Jan 2023-Published: 17 Jan 2023  \nKeywords: Cardiac metastasis, colorectal cancer, right ventricle, case report  \nCopyright: Ahmed Badheeb et al. Pan African Medical Journal (ISSN: 1937-8688) . This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( [https://creativecommons.org/l](https://creativecommons.org/l)icenses/by/4 .0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nCite this article: Ahmed Badheeb et al. Metastasis of colorectal adenocarcinoma to the right ventricle in a young man: a case report. Pan African Medical Journal. 2023;44(32) . 10. 11604/pamj.2023.44.32.37999  \nAvailable online at: [https://www.panafrican-med-journal.com//content/article/44/32/full](https://www.panafrican-med-journal.com//content/article/44/32/full)  \nMetastasis of colorectal adenocarcinoma to the right ventricle in a young man: a case report  \nAhmed Badheeb1,2,&, Faisal Ahmed3, Yahya Alhosni4, Mohamed Badheeb2,5, Hamoud Obied6, Islam Seada7  \n1 Department of Oncology, King Khalid Hospital, Najran, Saudi Arabia, 2 Department of Medicine, Faculty of Medicine, Hadhramaut University, Hadhramout, Yemen, 3 Urology Research Center, AlThora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Sciences, Ibb, Yemen, 4 Department of Cardiology, King Khalid Hospital, Najran, Saudi Arabia,  \n5 Department of General Medicine, King Khalid Hospital, Najran, Saudi Arabia, 6 Department of Cardiac Surgery, King Khalid Hospital, Najran, Saudi Arabia, 7 Department of Thoracic Surgery, King Khalid Hospital, Najran, Saudi Arabia  \n&Corresponding author  \nAhmed Badheeb, Department of Oncology, King Khalid Hospital, Najran, Saudi Arabia  \nArticle   \nAbstract  \nCardiac cancers are exceedingly rare, mainly appearing as secondary cancers in patients with numerous systemic metastases, and are often detected by autopsies. Right ventricle (RV) metastasis from metastatic colorectal cancer (mCRC) is rarely reported in the literature. Wereport a 24-year-old man's case of mCRC, who developed positional variation in pulse rate while receiving the second cycle of chemotherapy. The echocardiography and chest computed tomography (CT) scan showed RV mass. The tumor was rightsided, and Kirsten rat sarcoma (KRAS) mutated based on that. He was treated with FOLFOX chemotherapy protocol plus bevacizumab and enoxaparin with an initial reduction in mass size. However, follow-up CT 9 months later demonstrated disease progression. For that, the chemotherapy was stopped, and the patient received palliative care. In conclusion, this case provides evidence that mCRC and RV location of metastasis can and do occur. In such a case, therapeutic intervention should be determined by weighing the benefits and risks.  \nIntroduction  \nCancers involving the heart are more commonly metastatic than primary, with a very poor prognosis [1] . Although clinical recognition of cardiac metastasis from metastatic colorectal cancer (mCRC) is rare and continues to present a diagnostic and therapeutic challenge, this neoplasm should be considered among the broad differential of cardiac intracavitary masses [2,3] .  \nRight ventricle (RV) metastasis from metastatic colorectal cancer (mCRC) is rarely reported in the literature [4,5] . Herein, we report a 24-year-old male with a case of mCRC who presented with positional variation in pulse rate and was diagnosed with an RV mass. In addition, we conducted a literature review on the clinical assessment","cbCaiqcl6sHqyNzw","https://ap.wps.com/l/cbCaiqcl6sHqyNzw","pdf",870052,"English","# Abstract\n# Introduction\n# Patient and observation\n## Patient information\n## Clinical findings\n## Timeline\n## Diagnostic assessment","[{\"question\":\"Why are cardiac metastases from metastatic colorectal cancer difficult to diagnose and treat?\",\"answer\":\"Cardiac involvement is more commonly metastatic than primary, but clinical recognition of cardiac metastasis from mCRC remains rare. It creates ongoing diagnostic and therapeutic challenges.\"},{\"question\":\"What symptoms led to the detection of the right ventricle mass in the reported patient?\",\"answer\":\"During the second chemotherapy cycle, the patient developed positional variation in pulse rate. Echocardiography and chest CT subsequently identified an RV mass.\"},{\"question\":\"How was the patient treated, and what was the outcome?\",\"answer\":\"The patient received FOLFOX chemotherapy plus bevacizumab and enoxaparin, with an initial reduction in mass size. A follow-up CT after 9 months showed progression, chemotherapy was stopped, and palliative care was provided.\"}]","Metastasis of colorectal adenocarcinoma to the right ventricle in a young man - a case report | PDF",1790249620,23]