Vohra A, Saiz E, Davila E, Burkle J
Department of Medicine, Mount Sinai Medical Center, Miami Beach, Florida 33140, USA.
Clin Cardiol. 1999 Jun;22(6):429-33. doi: 10.1002/clc.4960220615.
Malignant nonseminomatous germ cell tumors (NSGCT) rarely metastasize to the heart. The first such case presenting with syncope is described. Eight previously described cases of NSGCT with intracaval metastasis to the heart are reviewed and the literature to date is discussed. Transesophageal echocardiography is the diagnostic study of choice and treatment consists primarily of platinum-based chemotherapy followed by surgical resection of residual deposits.
恶性非精原细胞性生殖细胞肿瘤(NSGCT)很少转移至心脏。本文描述了首例以晕厥为表现的此类病例。回顾了先前报道的8例NSGCT发生心脏腔静脉转移的病例,并讨论了迄今为止的相关文献。经食管超声心动图是首选的诊断检查方法,治疗主要包括铂类化疗,随后对残留病灶进行手术切除。