Khan Rafay, Jehangir Waqas, Tulpule Sunil, Osman Mohamed, Singh Shilpi, Sen Shuvendu
Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Avenue, Perth Amboy, NJ 07733, USA.
Case Rep Med. 2016;2016:6162732. doi: 10.1155/2016/6162732. Epub 2016 Apr 11.
Urothelial carcinoma in a few cases may result in cardiac metastasis. A rare presentation of this condition is its diagnosis as a result of cardiac tamponade. Tamponade is an unusual entity as a result of urothelial carcinoma and has only been reported in four cases. There have also been only a total of fifteen cases of cardiac metastasis from this form of malignancy. It is through this discussion that we emphasize the importance of early detection and monitoring of cardiac symptoms with the implementation of echocardiogram imaging. Although not feasible in all patients it may be considered in those presenting with cardiac and pulmonary symptoms. In this case we discuss the presentation of a 71-year-old gentleman with a history of urothelial carcinoma after cystectomy and while on chemotherapy presented with new onset atrial fibrillation and later was diagnosed with cardiac tamponade as a result of malignant metastasis.
少数情况下，尿路上皮癌可能会导致心脏转移。这种情况的一种罕见表现是因心脏压塞而被诊断出来。心脏压塞是尿路上皮癌导致的一种不寻常情况，仅在4例病例中被报道过。这种恶性肿瘤发生心脏转移的病例总共也只有15例。通过本次讨论，我们强调了通过实施超声心动图成像来早期发现和监测心脏症状的重要性。虽然并非对所有患者都可行，但对于出现心脏和肺部症状的患者可以考虑。在本文中，我们讨论了一位71岁男性的病例，他有膀胱切除术后尿路上皮癌病史，在化疗期间出现新发房颤，后来被诊断为恶性转移导致的心脏压塞。
