软组织肉瘤罕见的心脏转移：一例报告及文献综述
Rare cardiac metastasis of soft tissue sarcoma: A case report and literature review.
作者信息
Xiao Jun, Song Jiaguang, Liu Hui, Sun Yindi, Wang Chuanxi
机构信息
Department of Oncology (5th ward), Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical Sciences Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong University Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong University Department of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong Province, China.
出版信息
Medicine (Baltimore). 2018 Mar;97(13):e9814. doi: 10.1097/MD.0000000000009814.
RATIONALE
Owing to the unique structure and function of the heart, tumor metastasis in the heart is rare. Accordingly, no unique symptoms have yet been identified for cardiac metastasis.
PATIENT AND CONCERNS
A patient presented with cardiac metastasis 3 years after surgical resection of alveolar soft tissue sarcomas in their late stage.
DIAGNOSIS
Ultrasonography showed a middle-high echo clump on the left surface of the mid-upper interventricular septum, which had an unclear boundary with the myocardium. Meanwhile, blood flow was found in the clump, with no blockage of blood flow having been observed.
LESSONS
Although cardiac metastasis in terminal cancer patients always carries a poor prognosis, there is still no effective treatment for cardiac metastasis. In the clinic, it is important to improve the patient's quality of life, reduce symptoms and signs, and extend the duration of survival.
理论依据
由于心脏独特的结构和功能，肿瘤转移至心脏的情况较为罕见。因此，目前尚未确定心脏转移的独特症状。
患者及相关情况
一名患者在晚期肺泡软组织肉瘤手术切除3年后出现心脏转移。
诊断
超声心动图显示室间隔中上段左表面有一中等偏高回声团块，与心肌界限不清。同时，团块内可见血流信号，未观察到血流受阻。
经验教训
尽管晚期癌症患者发生心脏转移的预后通常较差，但目前仍没有针对心脏转移的有效治疗方法。在临床中，提高患者生活质量、减轻症状体征以及延长生存时间非常重要。
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