Jeon Hyo Keun, Kim Jung Ho, Cho Gwon Hyun, Kyung Sun Young, Jeong Sung Hwan, Chung Wook Jin, Kim Na Rae
Department of Internal Medicine, Gachon Medicine School and Science, Gil Medical Center, Incheon, Korea.
Korean J Intern Med. 2007 Mar;22(1):32-6. doi: 10.3904/kjim.2007.22.1.32.
Primary cardiac tumors are extremely rare and can originate within the heart or be the result of tumor spread from other sites. We report a female patient with a pulmonary vein tumor extending into the left atrium that had a suspicious primary malignant origin with a sacral metastatic carcinoma. The patient was admitted complaining of pain in her buttock area as a result of a sacral tumor. It was believed that the sacral tumor was a metastasis from the imaging study and clinical manifestation. The primary malignant origin was evaluated. The chest CT showed a left atrium thrombus-like lesion without a pulmonary abnormality. After a transesophageal echocardiogram, the patient was diagnosed with a pulmonary vein tumor extending to the left atrium. The patient was given palliative radiotherapy for the sacral pain. Initially, the clinical impression was a metastatic sacral tumor with a thromboembolism of the left atrium. However, this patient was finally diagnosed with a pulmonary vein tumor with a left atrium extension by a transesophageal echocardiogram.
原发性心脏肿瘤极为罕见，可起源于心脏内部，也可能是肿瘤从其他部位扩散所致。我们报告了一名女性患者，其肺静脉肿瘤延伸至左心房，怀疑有原发性恶性起源并伴有骶骨转移癌。该患者因骶骨肿瘤导致臀部区域疼痛而入院。根据影像学检查和临床表现，认为骶骨肿瘤是转移瘤。对原发性恶性起源进行了评估。胸部CT显示左心房有血栓样病变，肺部无异常。经食管超声心动图检查后，该患者被诊断为肺静脉肿瘤延伸至左心房。患者因骶骨疼痛接受了姑息性放疗。最初，临床印象是骶骨转移瘤伴左心房血栓栓塞。然而，该患者最终经食管超声心动图检查被诊断为肺静脉肿瘤伴左心房延伸。
