Harvey R L, Mychaskiw G, Sachdev V, Heath B J
Department of Surgery, University of Mississippi School of Medicine, Jackson, USA.
J Reprod Med. 2000 Jul;45(7):603-6.
An isolated cardiac metastasis from cervical carcinoma is very rare. This report describes the unusual presentation in a patient diagnosed and successfully treated for stage IB squamous cell carcinoma of the cervix, presenting six months later with disease metastatic to the heart.
A 44-year-old woman presented with hand swelling and bruising. She had undergone successful surgical treatment of a stage IB squamous cell cervical carcinoma six months previously. Computed tomography revealed a large mass in the right ventricle, confirmed by echocardiography. The patient underwent surgery, where the mass was biopsied and debulked under a cardiopulmonary bypass. Frozen section confirmed metastatic squamous cell carcinoma. The patient was discharged with follow-up radiation and chemotherapy.
All women with myocardial abnormalities and a history of squamous cell carcinoma of the cervix should be suspected of developing a myocardial metastasis until proven otherwise.
宫颈癌孤立性心脏转移非常罕见。本报告描述了一名患者的不寻常表现，该患者曾被诊断为宫颈IB期鳞状细胞癌并接受了成功治疗，但6个月后出现了疾病转移至心脏的情况。
一名44岁女性出现手部肿胀和瘀伤。她6个月前曾成功接受宫颈IB期鳞状细胞癌的手术治疗。计算机断层扫描显示右心室有一个大肿块，经超声心动图证实。患者接受了手术，术中在体外循环下对肿块进行了活检并减瘤。冰冻切片证实为转移性鳞状细胞癌。患者出院时接受了后续的放疗和化疗。
所有有心肌异常且有宫颈鳞状细胞癌病史的女性，在未被证伪之前都应怀疑发生了心肌转移。
