{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T04:16:26Z","timestamp":1761365786652,"version":"build-2065373602"},"reference-count":11,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Medical University of Bialystok","award":["B.SUB.25.505","B.SUB.25.295"],"award-info":[{"award-number":["B.SUB.25.505","B.SUB.25.295"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Echocardiography remains a vital part of the initial assessment and monitoring of oncological patients. It allows for proper treatment selection but can also reveal life-threatening complications, including impaired left ventricular function or thromboembolism. It can rarely detect intracardiac masses that require further investigation. In the presented case, a 51-year-old female patient with left-sided breast cancer, who had undergone neoadjuvant chemotherapy, was hospitalised due to a right atrial mass identified via routine transthoracic echocardiography (TTE). Initial anticoagulation therapy showed no clinical improvement. Follow-up TTE revealed a 12 \u00d7 19 mm hyperechogenic, mobile mass in the right atrium (RA). Computed tomography angiography (CTA) ruled out pulmonary embolism and revealed that the mass was located close to the tip of the vascular access port. Transoesophageal echocardiography showed that the lesion was not connected to the vascular port. Based on location and mobility, the lesion was most consistent with a cardiac myxoma. After the Heart Team made a decision, endovascular intervention using a vacuum-assisted device was performed without complications. Histopathological examination excluded thrombosis and myxoma, revealing a fibro-inflammatory lesion. A multimodality approach is necessary to assess RA masses. However, even an extensive evaluation could be misleading, so treatment options should always be subject to the Heart Team\u2019s decision.<\/jats:p>","DOI":"10.3390\/diagnostics15212683","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T01:35:11Z","timestamp":1761269711000},"page":"2683","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Multi-Modality Approach to the Assessment of a Right Atrium Mass in a Female Patient with Breast Cancer Undergoing Neoadjuvant Chemotherapy"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2229-8026","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Chlabicz","sequence":"first","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0974-7138","authenticated-orcid":false,"given":"Pawe\u0142","family":"Muszy\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"},{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Kruszy\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Kazberuk","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Medical University of Bialystok, Kili\u0144skiego 1, 15-089 Bia\u0142ystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9523-0334","authenticated-orcid":false,"given":"Magdalena","family":"R\u00f3g-Makal","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Lipowicz","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urszula","family":"Matys","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0153-0356","authenticated-orcid":false,"given":"Anna","family":"Tomaszuk-Kazberuk","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lipidology and Internal Diseases, Medical University of Bialystok, \u017burawia 14, 15-569 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1430-7455","authenticated-orcid":false,"given":"Marcin","family":"Ko\u017cuch","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u0142awomir","family":"Dobrzycki","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok, M. Sk\u0142odowskiej-Curie 24A, 15-276 Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"ref_1","first-page":"60","article-title":"Masses in right side of the heart: Spectrum of imaging findings","volume":"91","author":"Pradella","year":"2020","journal-title":"Acta Biomed."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s10554-017-1065-7","article-title":"Incremental value of cardiac magnetic resonance for the evaluation of cardiac tumors in adults: Experience of a high volume tertiary cardiology centre","volume":"33","author":"Giusca","year":"2017","journal-title":"Int. J. Cardiovasc. Imaging"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"4229","DOI":"10.1093\/eurheartj\/ehac244","article-title":"2022 ESC Guidelines on cardio-oncology developed in collaboration with the European Hematology Association (EHA), the European Society for Therapeutic Radiology and Oncology (ESTRO) and the International Cardio-Oncology Society (IC-OS): Developed by the task force on cardio-oncology of the European Society of Cardiology (ESC)","volume":"43","author":"Lyon","year":"2022","journal-title":"Eur. Heart J."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"De Martino, A., Pattuzzi, C., Garis, S., Bosco, F., Virgone, V.M., Salsano, A., Santini, F., and Pucci, A. (2025). A Comprehensive Review of Cardiac Tumors: Imaging, Pathology, Treatment, and Challenges in the Third Millennium. Diagnostics, 15.","DOI":"10.3390\/diagnostics15111390"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Tagliati, C., Fogante, M., Palmisano, A., Catapano, F., Lisi, C., Monti, L., Lanni, G., Cerimele, F., Bernardini, A., and Procaccini, L. (2024). Cardiac Masses and Pseudomasses: An Overview about Diagnostic Imaging and Clinical Background. Medicina, 60.","DOI":"10.3390\/medicina60010070"},{"key":"ref_6","first-page":"847","article-title":"Multimodality Imaging in the Diagnostic Work-Up of Patients With Cardiac Masses","volume":"6","author":"Angeli","year":"2024","journal-title":"JACC: CardioOncology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/eurheartj\/ehab635","article-title":"Cardiovascular magnetic resonance imaging in suspected cardiac tumour: A multicentre outcomes study","volume":"43","author":"Shenoy","year":"2021","journal-title":"Eur. Heart J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1007\/s12032-025-02661-0","article-title":"Diagnosis and treatment of cardiac tumors","volume":"42","author":"Imai","year":"2025","journal-title":"Med. Oncol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1007\/s11886-022-01658-9","article-title":"AngioVac for Minimally Invasive Removal of Intravascular and Intracardiac Masses: A Systematic Review","volume":"24","author":"Enezate","year":"2022","journal-title":"Curr. Cardiol. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.jvir.2020.09.012","article-title":"Endovascular Removal of Thrombus and Right Heart Masses Using the AngioVac System: Results of 234 Patients from the Prospective, Multicenter Registry of AngioVac Procedures in Detail (RAPID)","volume":"32","author":"Moriarty","year":"2021","journal-title":"J. Vasc. Interv. Radiol."},{"key":"ref_11","first-page":"e43720","article-title":"Investigating the Complications and Causes of Failure of the AngioVac System: A Post-Marketing Surveillance From the MAUDE Database","volume":"15","author":"Dandu","year":"2023","journal-title":"Cureus"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/21\/2683\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T04:12:06Z","timestamp":1761365526000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/21\/2683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,23]]},"references-count":11,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["diagnostics15212683"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics15212683","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2025,10,23]]}}}