Abaid Lisa N, Epstein Howard D, Chang Miles, Kankus Rita, Goldstein Bram H
Gynecologic Oncology Associates, Hoag Cancer Center, Newport Beach, Calif., USA.
Case Rep Oncol. 2009 Aug 20;2(2):150-156. doi: 10.1159/000231995.
Atrial myxomas are the most common primary heart tumors and predominantly considered to be benign lesions. Case Study: We report a case involving a 77-year-old woman who presented with a pelvic mass. She was found to have a primary endometrial cancer and primary lung cancer with concomitant metastatic adrenal gland and mesenteric lesions. Her prior medical history also included an untreated 4.0 x 2.0-cm left atrial myxoma which was identified on CT scan during the workup of her pelvic mass. RESULTS: A clinical decision was made to proceed with surgery for the pelvic mass with a subsequent recommendation for left atrial mass resection. Currently, the patient is scheduled to begin chemotherapy for primary lung cancer. CONCLUSION: The reported incidence of uterine cancer and a concurrent atrial myxoma is very rare. Consequently, the manner and timing in which treatment should be provided is imprecise. In the present case, the risk for cardiac complications was high, but given the presence of a partial bowel obstruction and the need to diagnose the primary site of her metastatic malignancy, the decision was made to proceed with exploratory abdominal surgery.
心房黏液瘤是最常见的原发性心脏肿瘤，主要被认为是良性病变。病例研究：我们报告一例涉及一名77岁女性的病例，该女性出现盆腔肿块。她被发现患有原发性子宫内膜癌和原发性肺癌，并伴有肾上腺和肠系膜转移病变。她既往的病史还包括在盆腔肿块检查期间通过CT扫描发现的一个4.0×2.0厘米的未治疗的左心房黏液瘤。结果：临床决定对盆腔肿块进行手术，随后建议切除左心房肿块。目前，该患者计划开始接受原发性肺癌的化疗。结论：子宫癌并发心房黏液瘤的报道发病率非常罕见。因此，治疗的方式和时机并不明确。在本病例中，心脏并发症的风险很高，但鉴于存在部分肠梗阻以及需要诊断其转移性恶性肿瘤的原发部位，决定进行 exploratory腹部手术。
原文中“exploratory”翻译为“探查性的”，结合语境这里“exploratory abdominal surgery”可理解为“剖腹探查术” ，但由于要求不添加解释，所以保留英文“exploratory”。
