Roubille François, Gahide Gérald, Cayla Guillaume, Serre Isabelle, Sportouch-Dukhan Catherine, Davy Jean-Marc, Piot Christophe
Cardiology Department, Arnaud de Villeneuve University Hospital, Montpellier, France.
Intern Med. 2008;47(5):427-9. doi: 10.2169/internalmedicine.47.0554. Epub 2008 Mar 3.
A 61-year-old man, consulted the clinic for dyspnea and cough worsening for 15 days. His past medical history was limited to a cutaneous melanoma 15 years previously, treated by surgery. He was thought to be cured, and was relapse free for the subsequent five years. Echocardiography revealed a large intracardiac mass occupying at least three quarters of the right ventricle, extending to the outflow tract. Echocardiography, MRI findings and anatomopathological examination are presented. Melanoma metastasis is discussed, with particular attention to cardiac localizations.
一名61岁男性因呼吸困难和咳嗽加重15天前来诊所就诊。他既往病史仅为15年前患皮肤黑色素瘤，接受过手术治疗。当时认为已治愈，随后五年无复发。超声心动图显示心脏内有一个大肿块，至少占据右心室的四分之三，并延伸至流出道。本文展示了超声心动图、磁共振成像（MRI）检查结果及解剖病理学检查情况。对黑色素瘤转移进行了讨论，尤其关注心脏部位的转移情况。
