巨大右心室肿块病变与生殖器恶性肿瘤相关：一例报告

Huge right ventricular mass lesion associated with genital malignant tumor: a case report.

作者信息

Higashi Masaya, Hodatsu Akihiko, Uchiyama Katsuharu, Tada Hayato, Mori Mika, Ohira Miho, Hayashi Kenshi, Kawashiri Masa-Aki

机构信息

Division of Cardiology, Keiju General Hospital, Nanao, Japan.

Department of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.

出版信息

J Med Case Rep. 2017 Oct 3;11(1):282. doi: 10.1186/s13256-017-1439-4.

DOI:10.1186/s13256-017-1439-4

PMID:28969678

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5625781/

Abstract

BACKGROUND

Primary heart tumors are rare, whereas metastatic heart tumors occur more frequently.

CASE PRESENTATION

We report a case of a 75-year-old Japanese woman who had metastatic heart tumors of the right ventricle. Although she initially received antibiotic therapy following a diagnosis of pneumonia and pleuritis, her symptoms worsened, and she developed dyspnea and bilateral lower limb edema. Echocardiography showed a huge mass lesion occupying the entire right ventricle. Because the patient's tumor markers were elevated, we used computed tomography to search for the primary lesion, which was located in the vagina or the uterus. Histology demonstrated the presence of basaloid squamous cell carcinoma in the vaginal tissue. Chemotherapy with paclitaxel and carboplatin was initiated.

CONCLUSIONS

These data suggest that the tumor in the right ventricle metastasized from the genital organs.

摘要

背景

原发性心脏肿瘤罕见，而转移性心脏肿瘤更为常见。

病例报告

我们报告一例75岁日本女性发生右心室转移性心脏肿瘤的病例。尽管她最初在被诊断为肺炎和胸膜炎后接受了抗生素治疗，但症状仍恶化，出现呼吸困难和双侧下肢水肿。超声心动图显示一个巨大的肿块病变占据了整个右心室。由于患者的肿瘤标志物升高，我们使用计算机断层扫描寻找原发性病变，其位于阴道或子宫。组织学显示阴道组织中存在基底样鳞状细胞癌。开始使用紫杉醇和卡铂进行化疗。