ABSTRACT
Pulmonary tumors of embryonic origin are rare, and pulmonary blastomas are probably the most uncommon. A thorough literature search disclosed no previous reports of extension of this type of tumor into the heart. We describe a patient whose initial clinical presentation suggested an obstructive left atrial mass; however, clinical and histologic findings indicated the mass was a tumor that originated from a pulmonary blastoma that extended into the left atrium through a pulmonary vein. The unique aspect of this case is that the patient's symptoms were related to the obstructive effects of the atrial mass, not to the primary pulmonary tumor.
Subject(s)
Heart Neoplasms/secondary , Lung Neoplasms/pathology , Pulmonary Blastoma/secondary , Cardiac Catheterization , Cardiopulmonary Bypass , Dyspnea/etiology , Echocardiography, Transesophageal , Edema/etiology , Electrocardiography , Heart Atria , Heart Failure/etiology , Heart Neoplasms/complications , Heart Neoplasms/diagnosis , Heart Neoplasms/surgery , Humans , Male , Middle Aged , Neoplasm Metastasis , Pneumonectomy , Pulmonary Blastoma/complications , Pulmonary Blastoma/diagnosis , Pulmonary Blastoma/surgery , Pulmonary VeinsABSTRACT
This case report describes the assessment and treatment of a 69-year-old male medical patient with urethral catheter dependence. Assessment revealed an anxiety/phobic component to the dependence and hypothesized detrusor muscle deconditioning. Retraining of the bladder and desensitization to the anxiety-provoking situation were achieved by exposure to decatheterization in the context of a supportive adult day health care setting. Interdisciplinary collaboration between nursing and psychology were associated with successful functional, social, and psychological outcomes.