膀胱鳞状细胞癌转移至心脏：病例报告及文献复习

Metastasis of squamous cell carcinoma of the bladder to the heart: case report and review of the literature.

作者信息

White Wesley M, Waters W Bedford, Panella Timothy J, Klein Frederick A

机构信息

Division of Urology, University of Tennessee Medical Center, Knoxville, Knoxville, Tennessee 37920, USA.

出版信息

Urology. 2006 Oct;68(4):890.e9-10. doi: 10.1016/j.urology.2006.05.004.

DOI:10.1016/j.urology.2006.05.004

PMID:17070384

Abstract

A 79-year-old woman with no previous history of genitourinary disease presented to an outside urologist with gross hematuria and irritative voiding symptoms. Cystoscopy revealed a papillary bladder mass thought initially to represent urothelial carcinoma of the bladder with squamous features. The patient presented to our hospital 6 months later with dyspnea and edema. Computed tomography of the chest revealed a cardiac mass, and endomyocardial biopsy revealed metastatic squamous cell carcinoma. A review of the patient's pathology report confirmed the very rare diagnosis of metastatic squamous cell carcinoma of the bladder to the heart.

摘要

一名79岁女性，既往无泌尿生殖系统疾病史，因肉眼血尿和刺激性排尿症状就诊于外院泌尿科医生。膀胱镜检查发现一个乳头状膀胱肿物，最初认为是具有鳞状特征的膀胱尿路上皮癌。6个月后，该患者因呼吸困难和水肿前来我院就诊。胸部计算机断层扫描显示心脏有肿物，心内膜活检显示为转移性鳞状细胞癌。复查患者的病理报告证实了极为罕见的膀胱转移性鳞状细胞癌累及心脏的诊断。