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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.

DOI:10.1016/j.case.2018.09.004
PMID:30828675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6382852/
Abstract

• 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.

摘要

• 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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/fbaa4499717f/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/f623ecf0fcaa/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/e114fd524c1e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/4c61beb244d0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/38e2b4fd983b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/d385aadc8691/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/ea34e22ab1f2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/116cdba21297/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/be1dc6258620/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/53399a9ab4fd/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/11664f68e2bb/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/39c9ea47513c/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/cce1f095f580/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/f4be95972211/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/fbaa4499717f/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/f623ecf0fcaa/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/e114fd524c1e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/4c61beb244d0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/38e2b4fd983b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/d385aadc8691/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/ea34e22ab1f2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/116cdba21297/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/be1dc6258620/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/53399a9ab4fd/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/11664f68e2bb/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/39c9ea47513c/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/cce1f095f580/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/f4be95972211/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd0/6382852/fbaa4499717f/gr13.jpg

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本文引用的文献

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Management Considerations in Infective Endocarditis: A Review.感染性心内膜炎的治疗策略：综述。
JAMA. 2018 Jul 3;320(1):72-83. doi: 10.1001/jama.2018.7596.
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Left Ventricular Reconstruction for Postinfarction Left Ventricular Aneurysm: Review of Surgical Techniques.心肌梗死后左心室室壁瘤的左心室重建：手术技术综述
Tex Heart Inst J. 2017 Oct 1;44(5):326-335. doi: 10.14503/THIJ-16-6068. eCollection 2017 Oct.
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Cardiac metastasis of squamous cell carcinoma of the thyroid gland with severe disseminated intravascular coagulation: A case report.
甲状腺鳞状细胞癌伴严重弥散性血管内凝血的心脏转移：一例报告
Mol Clin Oncol. 2017 Jan;6(1):91-95. doi: 10.3892/mco.2016.1091. Epub 2016 Nov 23.
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Myocardial perfusion echocardiography and coronary microvascular dysfunction.心肌灌注超声心动图与冠状动脉微血管功能障碍
World J Cardiol. 2015 Dec 26;7(12):861-74. doi: 10.4330/wjc.v7.i12.861.
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Homograft reconstruction of the right ventricular outflow tract in adults with congenital heart disease: a systematic review.
Interact Cardiovasc Thorac Surg. 2016 Jan;22(1):57-62. doi: 10.1093/icvts/ivv264. Epub 2015 Sep 27.
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Myocardial metastasis of cutaneous squamous cell carcinoma in a renal transplant recipient.一名肾移植受者发生皮肤鳞状细胞癌的心肌转移。
Transplant Proc. 2009 Dec;41(10):4414-5. doi: 10.1016/j.transproceed.2009.09.056.
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