Wang Zihan, Xiao Xiang, Lv Shuying, Li Chunyan, Jiang Hong
Beijing University of Chinese Medicine, Beijing, People's Republic of China.
Department of Integrative Cardiology, China-Japan Friendship Hospital, Beijing, People's Republic of China.
BMC Cardiovasc Disord. 2022 May 4;22(1):205. doi: 10.1186/s12872-022-02645-2.
Metachronous carcinoma presenting as a cardiac malignancy is rare, and timely diagnosis is critical. We report a patient with a primary cardiac tumor who eventually died and performed an imaging-related literature review.
A 68-year-old Chinese male patient, who had suffered from multiple malignancies, was suddenly found to have severely reduced platelets and symptoms of decreased cardiac function. After undergoing a series of imaging examinations such as transthoracic echocardiography and positron emission tomography-computed tomography, he was found to have a large occupancy within the right heart and was finally diagnosed with a primary cardiac malignancy. Combined with the patient's previous medical history, it was judged that this time it was a metachronous carcinoma. The patient was unable to accept the risk of surgery and eventually died.
This is a case report reporting a cardiac malignancy. This case highlights the importance of using multiple imaging modalities to make a common diagnosis and the need for more detailed evaluation in patients with metachronous carcinoma.
异时性癌表现为心脏恶性肿瘤较为罕见，及时诊断至关重要。我们报告了一例原发性心脏肿瘤患者，该患者最终死亡，并进行了影像学相关文献综述。
一名68岁的中国男性患者，曾患多种恶性肿瘤，突然发现血小板严重减少及心功能下降症状。经胸超声心动图和正电子发射断层扫描-计算机断层扫描等一系列影像学检查后，发现其右心有较大占位，最终被诊断为原发性心脏恶性肿瘤。结合患者既往病史，判断此次为异时性癌。患者无法接受手术风险，最终死亡。
这是一篇报告心脏恶性肿瘤的病例报告。该病例强调了使用多种影像学检查手段进行综合诊断的重要性，以及对异时性癌患者进行更详细评估的必要性。
