Youn Ho-Joong, Jung Seung Eun, Chung Wook Sung, Choi Myung Gyu, Lee Kyo Young, Chung Kyu Won, Hong Soon Jo, Sun Hee Sik
Division of Cardiology, College of Medicine, The Catholic University of Korea, Seoul.
J Am Soc Echocardiogr. 2002 Dec;15(12):1541-4. doi: 10.1067/mje.2002.128119.
We report a patient in whom there was right ventricular outflow tract obstruction by extended metastasis from esophageal cancer. A 65-year-old man was admitted to the hospital for evaluation of recent onset of weight loss and heart murmur. Esophagogram and endoscopy showed a 10-cm, ulcerative, infiltrative esophageal cancer. This esophageal cancer was histologically proven to be a squamous cell carcinoma. To assess the cardiac metastasis, echocardiography, magnetic resonance imaging, coronary angiography, and endomyocardial biopsy were performed. The magnetic resonance imaging, echocardiography, and right ventriculography revealed a 7-cm lobulated mass extending to the right ventricular outflow tract, right ventricle, septum, and anterior wall of the left ventricle. Interestingly, the feeding vessels of the tumor were identified by echocardiography and coronary angiography. Histologically, the cardiac tumor was proven to be have the same pathologic findings as esophageal cancer, compatible with carcinomatous metastasis.
我们报告了一名因食管癌广泛转移导致右心室流出道梗阻的患者。一名65岁男性因近期体重减轻和心脏杂音入院评估。食管造影和内镜检查显示有一个10厘米的溃疡性浸润性食管癌。该食管癌经组织学证实为鳞状细胞癌。为评估心脏转移情况，进行了超声心动图、磁共振成像、冠状动脉造影和心内膜活检。磁共振成像、超声心动图和右心室造影显示一个7厘米的分叶状肿块，延伸至右心室流出道、右心室、室间隔和左心室前壁。有趣的是，通过超声心动图和冠状动脉造影确定了肿瘤的供血血管。组织学检查证实心脏肿瘤与食管癌有相同的病理表现，符合癌转移。
