肾细胞癌孤立性右心室转移。

Solitary right ventricle metastasis by renal cell carcinoma.

作者信息

Masaki Mitsuru, Kuroda Tadashi, Hosen Naoki, Hirota Hisao, Terai Kazuo, Oshima Yuichi, Nakaoka Yoshikazu, Sugiyama Shoko, Kimura Ryusuke, Yoshihara Satoshi, Kawakami Manabu, Iizuka Norishige, Tomita Yasuhiko, Ogawa Hiroyasu, Kawase Ichiro, Yamauchi-Takihara Keiko

机构信息

Department of Molecular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.

出版信息

J Am Soc Echocardiogr. 2004 Apr;17(4):397-8. doi: 10.1016/j.echo.2003.12.011.

DOI:10.1016/j.echo.2003.12.011

PMID:15044878

Abstract

A 57-year-old man with a history of renal cell carcinoma presented with presyncope. He underwent nephrectomy years earlier followed by HLA-matched allogeneic peripheral-blood stem-cell transplantation. Echocardiographic investigation revealed a solitary right ventricle mass without contiguous vena caval or right atrial involvement. The mass was pathologically confirmed to be metastatic carcinoma in the right ventricular cavity. This case highlights the need to consider an underlying neoplastic syndrome in patients presenting isolated right ventricle mass by echocardiography.

摘要

一名有肾细胞癌病史的57岁男性出现晕厥前症状。他几年前接受了肾切除术，随后进行了人类白细胞抗原匹配的异基因外周血干细胞移植。超声心动图检查发现右心室有一个孤立肿块，腔静脉或右心房未受连续累及。该肿块经病理证实为右心室腔内转移性癌。本病例强调，对于超声心动图显示孤立性右心室肿块的患者，有必要考虑潜在的肿瘤综合征。