do Nascimento Felipe Barjud Pereira, Albieri Lilian, Bento Dos Santos Glaucia Aparecida, Dolhnikoff Marisa
Radiology Institute, Hospital of Clinics, São Paulo University Medical School, São Paulo, Brazil.
Radiology Department, São Paulo Cancer Institute (ICESP), São Paulo, Brazil.
Urology. 2016 Jul;93:e9-e11. doi: 10.1016/j.urology.2016.03.023. Epub 2016 Mar 24.
The cardiac chamber's involvement with neoplastic embolism has been rarely reported; it is mostly associated with gastric, breast, lung, liver, and prostate cancers, and usually affects the pulmonary arteries. This paper reports a case of a 31-year-old man with a malignant testicular germ cell tumor who presented with multiple episodes of pulmonary thromboembolism and died of sudden respiratory failure 1 year after the initial diagnosis. Death was attributed to massive pulmonary embolism and pulmonary infarction associated with a neoplastic thrombus that extended from the gonadal veins to pulmonary arteries. A postmortem computerized tomographic angiography and autopsy confirmed this finding.
心脏腔室受累于肿瘤栓塞的情况鲜有报道；它主要与胃癌、乳腺癌、肺癌、肝癌和前列腺癌相关，且通常累及肺动脉。本文报告一例31岁男性，患有恶性睾丸生殖细胞肿瘤，初诊后1年出现多次肺血栓栓塞，并死于突发呼吸衰竭。死亡原因是大量肺栓塞和肺梗死，与从性腺静脉延伸至肺动脉的肿瘤血栓有关。尸检计算机断层血管造影和尸检证实了这一发现。
