Ramcharan K, Pooransingh C, Harnarayan C, Shah-Parsad M, McFarlane H
San Fernando General Hospital, Trinidad.
West Indian Med J. 1990 Mar;39(1):47-51.
A pre-menopausal patient with a six-year history of symptoms of the metastatic carcinoid syndrome leading to progressively worsening carcinoid heart disease is described. The failure of anti-oestrogenic therapy (sequential bilateral oophorectomy and Tamoxifen therapy) to halt progression of disease was documented. Death resulted from right ventricular failure associated with pulmonary and tricuspid valvular disease.
本文描述了一位绝经前患者，有六年转移性类癌综合征症状病史，导致类癌性心脏病逐渐加重。记录了抗雌激素治疗（序贯双侧卵巢切除术和他莫昔芬治疗）未能阻止疾病进展。患者死于与肺和三尖瓣疾病相关的右心室衰竭。
