Murakami Takayuki, Komiya Atsushi, Mikata Kunihisa, Kaneko Shigeki, Ikeda Ichiro
Department of Urology, Yokohama Minami Kyousai Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.
Int J Urol. 2007 Mar;14(3):240-1. doi: 10.1111/j.1442-2042.2007.01512.x.
A 66-year-old man was referred to our hospital with chest discomfort and shortness of breath. Seven months previously he had undergone a laparoscopic left nephroureterectomy for a left renal pelvic tumor and was given two cycles of adjuvant chemotherapy (methotrexate, epirubicin and cisplatin). Echocardiogram showed an 8-mm sized mass extending from the right atrium into the right ventricle. On computed tomography, multiple lung tumors, as well as the right atrial and ventricular mass, were seen. The patient died of acute heart failure caused by right ventricular outflow obstruction. On autopsy, a right atrial and ventricular metastasis of the initial transitional cell carcinoma was found. The patient's cause of death was acute heart failure as a result of cardiac metastasis of his initial renal pelvic carcinoma.
一名66岁男性因胸部不适和呼吸急促被转诊至我院。七个月前，他因左肾盂肿瘤接受了腹腔镜下左肾输尿管切除术，并接受了两个周期的辅助化疗（甲氨蝶呤、表柔比星和顺铂）。超声心动图显示一个8毫米大小的肿块从右心房延伸至右心室。计算机断层扫描显示有多个肺部肿瘤以及右心房和心室肿块。患者死于右心室流出道梗阻导致的急性心力衰竭。尸检发现最初的移行细胞癌发生了右心房和心室转移。患者的死因是最初肾盂癌的心脏转移导致的急性心力衰竭。
