Vieira Miguel Silva, Meireles Ana, Gomes Catarina, Antunes Nuno, Sá Isabel, Cabral Sofia, Carvalho Henrique, Torres Severo
Hospital Santo António, Centro Hospitalar do Porto, Porto 4099-001, Portugal.
J Cardiol Cases. 2012 Jul 4;6(4):e109-e111. doi: 10.1016/j.jccase.2012.06.005. eCollection 2012 Oct.
Cardiac metastases from testicular tumors are rare. We report a case of a 42-year-old man with a cardiac mass incidentally found in a computed tomography-scan included in the workup for lumbago and a suspicious neoformation in the right testicle. Transthoracic echocardiography showed a large multilobular ill-defined mass infiltrating the right ventricle free wall, protruding to, and partially obstructing the right ventricular outflow tract resulting in considerable outflow obstruction. Cardiac magnetic resonance imaging favored a malignant nature, which was confirmed by marked regression of the tumor mass with chemotherapy and anatomopathologic study.
睾丸肿瘤的心脏转移罕见。我们报告一例42岁男性病例，该患者在因腰痛进行的检查所包含的计算机断层扫描中偶然发现心脏有肿物，同时右侧睾丸有可疑新生物。经胸超声心动图显示一个大的多叶状边界不清的肿物，浸润右心室游离壁，凸入并部分阻塞右心室流出道，导致严重的流出道梗阻。心脏磁共振成像显示肿物具有恶性特征，化疗后肿瘤明显缩小及病理检查证实了这一点。
