Barbetakis Nikolaos G, Vassiliadis Michalis, Krikeli Marianthi, Antoniadis Theodoros, Tsilikas Christodoulos
Department of Thoracic Surgery, Theagenion Cancer Hospital, Alexandrou Simeonidi 2, Thessaloniki, Greece.
World J Surg Oncol. 2003 Oct 10;1(1):20. doi: 10.1186/1477-7819-1-20.
Metastatic involvement of pericardium producing cardiac tamponade is rare. When occurs it is mainly from the lung, breast and the neoplasms of the lymphoreticular system. Hematogenous spread of parotid adenocarcinoma to heart is extremely rare and only two cases have been reported in literature so far. CASE PRESENTATION: We report an unusual case of a patient with adenocarcinoma of the parotid gland, which presented with cardiac tamponade and was treated urgently with pericardial drainage and intrapericardial injection of cisplatin. CONCLUSIONS: Our case demonstrates the possibility of metastatic pericardial involvement and cardiac tamponade in patients with parotid adenocarcinoma. The patient was successfully treated with pericardial drainage and intrapericardial injection of chemotherapeutic agent to control recurrent pericardial effusion.
转移性心包受累导致心脏压塞较为罕见。一旦发生，主要源于肺、乳腺及淋巴网状系统肿瘤。腮腺腺癌血行转移至心脏极为罕见，迄今为止文献仅报道过两例。病例报告：我们报告一例不寻常的腮腺腺癌患者，该患者出现心脏压塞，并紧急接受了心包引流及心包内注射顺铂治疗。结论：我们的病例证明了腮腺腺癌患者发生转移性心包受累及心脏压塞的可能性。该患者通过心包引流及心包内注射化疗药物成功控制了复发性心包积液。
