Gaudrée L, Chabrun A, Corbi P, Levillain P, Herpin D
DMC de cardiologie, CHU de Poitiers, pavillon R. Beauchant.
Arch Mal Coeur Vaiss. 2000 Nov;93(11):1339-42.
The authors report the case of a 70 year old man with a past history of nucleation of the left eye thirty years previously, in whom two masses, one in the right atrium and the other in the left ventricle, were chance findings on transthoracic echocardiography. After surgery, during which the right atrial tumour was removed and the left ventricular tumour biopsied, histology confirmed the malignant melanomatous nature of the tumours. Further investigations did not detect a primary tumour or other secondary ones. The choroidal origin of these metastases cannot be excluded. After 5 years follow-up, the patient remains in good general condition and the tumours have not recurred or progressed. The literature is reviewed with reference to this case report.
作者报告了一例70岁男性患者,其左眼曾于30年前发生成核现象。经胸超声心动图检查偶然发现该患者右心房和左心室各有一个肿块。手术后,切除了右心房肿瘤并对左心室肿瘤进行了活检,组织学检查证实肿瘤为恶性黑色素瘤。进一步检查未发现原发性肿瘤或其他继发性肿瘤。这些转移瘤的脉络膜起源不能排除。经过5年的随访,患者总体状况良好,肿瘤未复发或进展。结合本病例报告对相关文献进行了综述。