Solitary metastasis of urothelial carcinoma of the urinary bladder to the heart: An unusual clinical manifestation  Konstantinos Spiliotopoulos, MD, Mihalis Argiriou, MD, FETCS, Theodoros Argyrakos, MD, Konstantinos Haritopoulos, PhD, FEBU, Konstantinos Kanakakis, MD, Timotheos Sakellaridis, MD, Christos Charitos, MD, Ion Bellenis, MD, PhD, FETCS, FRCS  The Journal of Thoracic and Cardiovascular Surgery  Volume 136, Issue 5, Pages 1377-1378.e1 (November 2008) DOI: 10.1016/j.jtcvs.2007.11.046 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Photomicrograph of urothelial carcinoma metastatic to myocardium. B, Urothelial carcinoma infiltrating urinary bladder muscular wall (primary tumor). (Hematoxylin–eosin stain, original magnification 40×). The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1377-1378.e1DOI: (10.1016/j.jtcvs.2007.11.046) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Coronal magnetic resonance images demonstrating metastatic tumor involving entire right side of heart and infiltrating myocardium before (A) and after (B) chemotherapy resulting in 40% reduction in size. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1377-1378.e1DOI: (10.1016/j.jtcvs.2007.11.046) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Nuclear expression of p63 in neoplastic cells infiltrating myocardium Nuclear expression of p63 in neoplastic cells infiltrating myocardium. (3,3′-diaminobenzidine, original magnification 40×). The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1377-1378.e1DOI: (10.1016/j.jtcvs.2007.11.046) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions