Chiou J S, Wang P H, Yuan C C, Lai C R, Ng H T
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 1999 Nov;62(11):828-31.
Carcinoma of the cervix spreading to the paracervical lymphatics is a common phenomenon followed by involvement of the para-aortic lymph nodes and subsequent distant metastases. The most common extranodal metastases sites are the lungs, followed by the liver and bones. The heart is an extremely rare metastatic target for carcinoma of the cervix. Furthermore, the majority of cardiac metastases involve the pericardium and endocardium and are particularly rare. We present the case of a 56-year-old woman with recurrent squamous cell carcinoma of the cervix who died after aggressive multimodality treatment including concurrent chemoradiotherapy and surgical intervention. The patient died suddenly and the autopsy showed disseminated carcinomatosis with portal vein, hepatic vein, inferior vena cava and right ventricular tumor emboli.
宫颈癌扩散至宫颈旁淋巴管是一种常见现象，随后会累及主动脉旁淋巴结并发生远处转移。最常见的结外转移部位是肺，其次是肝和骨。心脏是宫颈癌极其罕见的转移靶点。此外，大多数心脏转移累及心包和心内膜，尤为罕见。我们报告一例56岁复发性宫颈鳞状细胞癌女性患者，在接受包括同步放化疗和手术干预在内的积极多模式治疗后死亡。患者突然死亡，尸检显示弥漫性癌病伴门静脉、肝静脉、下腔静脉及右心室肿瘤栓子。
