Figure 1

Cardiac involvement by the tumor. A: Image from transthoracic echocardiogram showing a mass attached to the apex of the right ventricle with a pericardial effusion (white arrow). RV = right ventricle; RA = right atrium; LV = left ventricle; LA = left atrium; PE = pericardial effusion. B: Photography derived from the autopsy showing opened right ventricle with a mass attached to the endocardial surface of the right ventricle (white arrow). RV = right ventricle. C: Polypoid cardiac mass (× 250) (black arrow). D: Emboli of neoplastic cells in myocardial and endocardial vessels (× 400) (black arrows).