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子宫颈原发性癌的右心室转移瘤:肺栓塞的一个病因。

Right ventricular metastatic tumor from a primary carcinoma of uterine cervix: A cause of pulmonary embolism.

作者信息

Han Gwan Hee, Kwon Do Youn, Ulak Roshani, Ki Kyung Do, Lee Jong-Min, Lee Seon-Kyung

机构信息

Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

Department of Medicine, Graduate School, Kyung Hee University, Seoul, Korea.

出版信息

Obstet Gynecol Sci. 2017 Jan;60(1):129-132. doi: 10.5468/ogs.2017.60.1.129. Epub 2017 Jan 15.

Abstract

The presence of intracavitary cardiac metastasis from squamous cell carcinoma of the uterine cervix is extremely rare. The diagnosis is made almost exclusively postmortem. Apart from causing intracardiac obstruction, it can present as pulmonary emboli and the prognosis is extremely poor. It is important to suspect this diagnosis in patient with recurrent pulmonary emboli. Due to the rarity of this condition it is very difficult to standardize care for these patients. However, it is possible that aggressive therapy may lengthen patients' survival and quality of life. We present a case of isolated intracavitary cardiac metastasis arising from a squamous cell carcinoma of the cervix, 44-year-old woman, diagnosed as stage complaint of fatigue and dyspnea on mild exertion. The echocardiogram showed a mass in the right ventricle and suspicious pulmonary embolism. We took an aggressive therapeutic approach. The pathological examination of the resected tissue revealed metastatic squamous cell carcinoma.

摘要

子宫颈鳞状细胞癌发生心腔内转移极为罕见。几乎仅在尸检时才能做出诊断。除了引起心内梗阻外,还可表现为肺栓塞,预后极差。对于复发性肺栓塞患者,怀疑这一诊断很重要。由于这种情况罕见,很难对这些患者进行标准化治疗。然而,积极治疗有可能延长患者的生存期并提高生活质量。我们报告一例44岁女性,因宫颈鳞状细胞癌发生孤立性心腔内转移,主诉轻度活动时疲劳和呼吸困难,诊断为该阶段。超声心动图显示右心室有肿块,怀疑有肺栓塞。我们采取了积极的治疗方法。切除组织的病理检查显示为转移性鳞状细胞癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229c/5313357/c3f11196ed2a/ogs-60-129-g001.jpg

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