子宫平滑肌肉瘤右心房转移致阻塞性休克。
Right atrial metastasis of uterine leiomyosarcoma causing obstructive shock.
机构信息
BC Cancer Agency-Fraser Valley Centre, Surrey, BC.
出版信息
Curr Oncol. 2012 Aug;19(4):e292-4. doi: 10.3747/co.19.978.
Abstract
Uterine leiomyosarcomas are rare tumours, and secondary cardiac metastases are even rarer. We present the case of a 56-year-old ethnic Chinese woman who was being treated with adjuvant pelvic radiation for uterine leiomyosarcoma when she presented with signs of right heart failure and shock. She was rapidly diagnosed with a solid mass attached to the tricuspid valve. Subsequent surgical resection revealed leiomyosarcoma metastasis. Metastases of uterine leiomyosarcoma to the heart are extremely rare, but clinicians should be aware of this phenomenon. Surgical resection, when feasible, can be associated with longer survival.
摘要
子宫平滑肌肉瘤是罕见的肿瘤，心脏继发性转移瘤则更为罕见。我们报告了一例 56 岁的华裔女性，她因子宫平滑肌肉瘤接受辅助盆腔放疗时出现右心衰竭和休克的症状。迅速诊断出她的三尖瓣上附着有一个实性肿块。随后的手术切除显示为平滑肌肉瘤转移。子宫平滑肌肉瘤转移到心脏极为罕见，但临床医生应该意识到这种现象。当可行时，手术切除可延长生存时间。
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