Hattori Seiya, Miyajima Akira, Maeda Takahiro, Takeda Toshikazu, Morita Shinya, Kosaka Takeo, Kikuchi Eiji, Oya Mototsugu
Department of Urology, Keio University School of Medicine, Tokyo, Japan.
Can Urol Assoc J. 2012 Oct;6(5):E184-8. doi: 10.5489/cuaj.11130.
A 53-year-old man presented for further evaluation due to microscopic hematuria and left lumbar pain. Computed tomography revealed a large tumour in the left renal pelvis with multiple metastases. Despite effective systemic chemotherapy, he developed dyspnea, and was diagnosed with cardiac tamponade. Pericardial involvement in an advanced malignancy is common, but symptomatic cardiac metastasis from urothelial carcinoma is rare. Of the reports of symptomatic cardiac metastasis from urothelial carcinoma, only 3 cases presented as cardiac tamponade. We report here a rare case of cardiac tamponade caused by a renal pelvic carcinoma with positive cytodiagnosis of pericardial effusion. We also summarize and discuss the symptoms, treatment, and prognosis of the pathological condition, and present a brief review of previously published reports.
一名53岁男性因镜下血尿和左腰痛前来进一步评估。计算机断层扫描显示左肾盂有一个大肿瘤并伴有多处转移。尽管进行了有效的全身化疗，但他仍出现呼吸困难，并被诊断为心脏压塞。晚期恶性肿瘤累及心包很常见，但尿路上皮癌出现有症状的心脏转移却很罕见。在尿路上皮癌有症状的心脏转移报告中，仅有3例表现为心脏压塞。我们在此报告一例由肾盂癌引起心脏压塞且心包积液细胞诊断呈阳性的罕见病例。我们还总结并讨论了该病理状况的症状、治疗及预后，并对既往发表的报告进行简要综述。
