恶性胸膜间皮瘤形成巨大纵隔肿块并导致心房颤动。
Malignant pleural mesothelioma forming a huge mediastinal mass and causing atrial fibrillation.
作者信息
Kuwabara Hiroko, Tsuji Hiroshi, Inada Yuki, Shibayama Yuro
机构信息
Department of Pathology, Osaka Medical College, Osaka, Japan.
出版信息
Indian J Pathol Microbiol. 2012 Oct-Dec;55(4):513-5. doi: 10.4103/0377-4929.107794.
A patient with malignant pleural mesothelioma was admitted with atrial fibrillation. Chest computed tomography showed a huge mediastinal tumor adjacent to the heart. Autopsy revealed a 12×9.5-cm mediastinal mass involving the right lung, which distorted and stretched the myocardial sleeve surrounding the right inferior pulmonary vein. This case demonstrates that advanced malignant pleural mesothelioma can cause atrial fibrillation, possibly by stimulating myocardium around a pulmonary vein.
一名恶性胸膜间皮瘤患者因心房颤动入院。胸部计算机断层扫描显示心脏旁有一个巨大的纵隔肿瘤。尸检发现一个12×9.5厘米的纵隔肿块累及右肺，该肿块使右下肺静脉周围的心肌袖扭曲并拉长。该病例表明，晚期恶性胸膜间皮瘤可能通过刺激肺静脉周围的心肌而导致心房颤动。
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