Thomas C R, Edmondson E A
Department of Internal Medicine, Rush-Presbyterian-St Luke's Medical Center, Chicago, Illinois.
J Natl Med Assoc. 1991 Nov;83(11):1001-17.
A myriad of multisystem disorders may result from primary malignant disease, metastasis, or treatment. Neoplastic pericardial disease in the form of malignant effusions, tamponade, and pericarditis are not uncommonly seen. Compromise of blood return to the right side of the heart due to the superior vena cava syndrome is a well known entity that is also still undergoing examination of the variety of treatment options available. The central and peripheral nervous systems also may be involved from both primary or secondary malignant disease. The recognition, diagnostic approach, natural history, and therapeutic options will be reviewed.
多种多系统疾病可能由原发性恶性疾病、转移或治疗引起。恶性积液、心包填塞和心包炎形式的肿瘤性心包疾病并不罕见。上腔静脉综合征导致的血液回流至心脏右侧受阻是一种众所周知的情况,目前仍在对各种可用治疗方案进行研究。中枢神经系统和周围神经系统也可能受到原发性或继发性恶性疾病的影响。本文将对其识别、诊断方法、自然病程和治疗选择进行综述。