Morio S, Hara Y, Yamaga T, Yoshino Y, Nakamoto S, Sugiyoma N
Kyobu Geka. 1989 Oct;42(11):944-7.
A 77-year-old man who developed Adams-Stokes syndrome due to metastatic squamous cell carcinoma of the His-bundle was reported. There was a small primary lesion in the left upper lobe (S5) of the lung, and it widely invaded to the chest wall and metastasized to the spleen and the ventricular septum of the heart. The clinical diagnosis of the metastatic cardiac involvement is often elusive. But some literatures suggested that the careful observation of serial ECGs and UCGs were very useful not only to diagnose the metastasis but to indicate the invasive style to the heart.
据报道，一名77岁男性因希氏束转移性鳞状细胞癌出现阿-斯综合征。肺部左上叶（S5）有一个小的原发性病变，且广泛侵犯胸壁，并转移至脾脏和心脏室间隔。转移性心脏受累的临床诊断往往难以捉摸。但一些文献表明，仔细观察系列心电图和超声心动图不仅对诊断转移很有用，而且对指示心脏的侵袭方式也很有用。
