Kadono Yoshifumi, Yamamoto Hajime, Tajika Eiji
Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
Int J Urol. 2006 Apr;13(4):454-6. doi: 10.1111/j.1442-2042.2006.01323.x.
We report a rare case of symptomatic cardiac metastasis from a transitional cell carcinoma of the renal pelvis. A 57-year-old man presented with severe anemia, inflammation, hypoxemia and disseminated intravascular coagulation. Computed tomography revealed a large tumor in the left renal pelvis with multiple lymph node metastases. Two-dimensional echocardiography revealed large tumors in the right ventricle. The patient suddenly died because of the obstructive mass of the right ventricular outflow tract. Histopathological examination showed high-grade transitional cell carcinoma in the left renal pelvis and the right ventricle. There are only three cases of cardiac metastases from a transitional cell carcinoma reported in the literature.
我们报告一例罕见的肾盂移行细胞癌所致的有症状心脏转移病例。一名57岁男性患者出现严重贫血、炎症、低氧血症和弥散性血管内凝血。计算机断层扫描显示左肾盂有一个大肿瘤，并伴有多处淋巴结转移。二维超声心动图显示右心室有大肿瘤。患者因右心室流出道阻塞性肿块突然死亡。组织病理学检查显示左肾盂和右心室为高级别移行细胞癌。文献中仅报道了三例移行细胞癌心脏转移病例。
