Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona 85259, USA.
J Am Soc Echocardiogr. 2009 Dec;22(12):1419.e5-7. doi: 10.1016/j.echo.2009.06.009. Epub 2009 Jul 31.
Uterine leiomyosarcoma metastatic to multiple cardiac chambers occurs infrequently. Over the past 4 decades, there have been only 11 reported cases of cardiac metastasis secondary to uterine leiomyosarcoma. Metastatic cardiac tumors are commonly diagnosed postmortem, although it may be possible to diagnose them during life. The authors report a rare case of a 48-year-old woman with uterine leiomyosarcoma who was diagnosed with extensive cardiac metastases (in the left atrium, right and left ventricles, pulmonary artery, and pulmonary vein). Although extensive cardiac metastases are suggestive of imminent death, aggressive treatment resulted in survival for >1 year for this patient, which underscores the importance of treatment in select patients.
子宫平滑肌肉瘤转移至多个心腔的情况并不常见。在过去的 40 年中，仅有 11 例继发于子宫平滑肌肉瘤的心脏转移报告。尽管在生前可能诊断出转移性心脏肿瘤，但这些肿瘤通常是死后诊断的。作者报告了一例罕见的 48 岁女性患有子宫平滑肌肉瘤，她被诊断出广泛的心脏转移（左心房、右心室和左心室、肺动脉和肺静脉）。尽管广泛的心脏转移提示即将死亡，但积极的治疗使这位患者的生存时间超过了 1 年，这突显了在某些患者中治疗的重要性。
