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肺肿瘤经右上肺静脉蔓延致左心房肿物侵犯并表现为同侧脑卒中

Left Atrial Mass Invasion from Pulmonary Neoplasm Extension via the Right Upper Pulmonary Vein Presenting as Ipsilateral Stroke.

作者信息

Ballo Piercarlo, Laureano Raffaele, Briganti Mariapia, Passaleva Maria Teresa, Piani Fiorella, Piga Cecilia, Tatini Stefano, Santoro Giovanni Maria

机构信息

Cardiology Unit, S. Maria Annunziata Hospital, Florence, Italy.

Department of Medicine, S. Maria Annunziata Hospital, Florence, Italy.

出版信息

Case Rep Med. 2016;2016:7084234. doi: 10.1155/2016/7084234. Epub 2016 Dec 8.

DOI:10.1155/2016/7084234
PMID:28053605
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5178349/
Abstract

Left atrial invasion by lung cancer via haematogenous pathways is a relatively uncommon but potentially life-threatening event. While several cardiac complications of cardiac involvement have been previously described, the evolution towards cerebral stroke has been rarely reported. In this case report, we describe an atypical case of haematogenous metastatic invasion of the left atrium from pulmonary neoplasm extension presenting as an ipsilateral stroke whose ASCO classification changed during the clinical management.

摘要

肺癌经血行途径侵犯左心房是一种相对罕见但可能危及生命的情况。虽然先前已经描述了心脏受累的几种心脏并发症，但向脑卒中介入的情况却鲜有报道。在本病例报告中，我们描述了一例非典型病例，即肺肿瘤扩展经血行转移侵犯左心房，表现为同侧脑卒中，其美国临床肿瘤学会（ASCO）分类在临床管理过程中发生了变化。

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Surgery for massive malignant tumors of the left atrium - one center's experience.左心房巨大恶性肿瘤的手术治疗——单中心经验
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Stroke Caused by Lung Cancer Invading the Left Atrium.肺癌侵犯左心房导致的中风
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Pulmonary Venous Obstruction in Cancer Patients.癌症患者的肺静脉阻塞
鳞状细胞癌导致的左心房无症状肿瘤血栓
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Atrial invasion and showering phenomenon in primary lung cancer: A case report.原发性肺癌的心房侵犯及播散现象：一例报告
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Surgical results and long-term follow-up of T(4)-non-small cell lung cancer invading the left atrium or the intrapericardial base of the pulmonary veins.侵犯左心房或肺静脉心包内基部的T(4)期非小细胞肺癌的手术结果及长期随访
Interact Cardiovasc Thorac Surg. 2012 Apr;14(4):415-9. doi: 10.1093/icvts/ivr160. Epub 2012 Jan 22.
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Invasion of lung mesenchymal chondrosarcoma into the left atrium via the pulmonary vein detected on transoesophageal echocardiography.经食管超声心动图检测到肺间叶性软骨肉瘤经肺静脉侵入左心房。
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8
Advanced right lung adenocarcinoma invading left atrium and left ventricle via right superior pulmonary vein and partially occluding mitral valve in diastole.晚期右肺腺癌经右上肺静脉侵犯左心房和左心室，并在舒张期部分阻塞二尖瓣。
Eur J Echocardiogr. 2011 Jun;12(6):420. doi: 10.1093/ejechocard/jer050. Epub 2011 May 5.
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Rare Tumors. 2010 Sep 30;2(3):e53. doi: 10.4081/rt.2010.e53.