一名烧伤患者皮肤鳞状细胞癌的心肌转移
Myocardial Metastasis of Cutaneous Squamous Cell Carcinoma in a Burn Patient.
作者信息
Efendizade Aslan, Kobayashi Daisuke, Forbes Thomas J, Liu Susan, Lieberman Randy, Afonso Luis
机构信息
Department of Internal Medicine, Division of Cardiology, and Department of Pathology, Detroit Medical Center, Wayne State University, Detroit, Michigan.
Division of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan.
出版信息
CASE (Phila). 2018 Dec 28;3(1):6-10. doi: 10.1016/j.case.2018.09.004. eCollection 2019 Feb.
• The patient presented with fungating skin lesions, remitting fevers, and leukocytosis. • Myocardial perfusion echocardiography aided in the diagnosis of neoplasm in the RVOT. • Fluoroscopy-guided biopsy of the mass confirmed metastatic invasion of SCC. • Evidence for optimal management of cardiac metastasis of SCC is scarce. • This is the first reported case of Marjolin's ulcer with metastasis to the heart.
• 该患者出现皮肤溃疡病变、弛张热和白细胞增多。
• 心肌灌注超声心动图有助于诊断右心室流出道肿瘤。
• 荧光透视引导下对肿块进行活检，证实为鳞状细胞癌转移浸润。
• 鳞状细胞癌心脏转移的最佳治疗证据匮乏。
• 这是首例报道的发生心脏转移的马乔林溃疡病例。
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