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双侧心房黏液瘤同时发生转移的罕见病例报告。

Rare report of concurrent metastasis on bilateral atrial myxoma masses.

作者信息

Ayati Sahar, Amouzeshi Ahmad, Dehghani-Samani Amir

机构信息

Department of Pathology, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

Associate Professor, Department of Cardiology, School of Medicine AND Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

ARYA Atheroscler. 2021 Jul;17(4):1-5. doi: 10.22122/arya.v17i0.2335.

DOI:10.22122/arya.v17i0.2335
PMID:35685228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9137234/
Abstract

BACKGROUND

This study simultaneously reports bilateral atrial tumor masses including the concurrent occurrence of metastatic carcinoma, consistent with metastatic breast carcinoma, on the main cardiac myxoma mass in the left atrium (LA) and metastatic carcinoma consistent with metastatic breast carcinoma for the right atrial (RA) mass.

CASE REPORT

These masses were observed in a 79-year-old female patient who had received her pacemaker 6 months ago due to electrical conduction disease. However, no tumor/mass was found in her echocardiogram at the time of the pacemaker reception and mild chest pain and dyspnea were the only signs of her huge masses. Bilateral interseptal atrial cardiac masses protruded to the LA and RA were observed in both atrial chambers in echocardiography, and she underwent the surgical resection of masses.

CONCLUSION

The findings of the current study represented a novel condition for a patient. More precisely, the patient had two different huge cardiac masses, and at the same time, the metastasis of breast cancer was reported on the other cardiac tumor/myxoma as well. In addition, metastatic carcinoma should be suspected in patients with cardiac myxoma mass consistent with heart block. The simultaneous presence of multiple masses inside the heart is not always evidence of myxoma, rather can be a metastatic lesion.

摘要

背景

本研究同时报告了双侧心房肿瘤肿块，包括左心房（LA）主要心脏黏液瘤肿块上同时出现的转移性癌，与转移性乳腺癌一致，以及右心房（RA）肿块的转移性癌，与转移性乳腺癌一致。

病例报告

这些肿块在一名79岁女性患者中被观察到，该患者6个月前因传导系统疾病接受了起搏器植入。然而，在植入起搏器时，她的超声心动图未发现肿瘤/肿块，轻度胸痛和呼吸困难是其巨大肿块的唯一症状。超声心动图显示双侧房间隔心脏肿块突入LA和RA，她接受了肿块的手术切除。

结论

本研究的发现代表了一种患者的新情况。更确切地说，该患者有两个不同的巨大心脏肿块，同时，另一个心脏肿瘤/黏液瘤上也报告了乳腺癌转移。此外，对于有与心脏传导阻滞一致的心脏黏液瘤肿块的患者，应怀疑有转移性癌。心脏内多个肿块同时存在并不总是黏液瘤的证据，而可能是转移性病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/ed12d85f2066/ARYA-17-7-2235f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/a5793af4463a/ARYA-17-7-2235f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/2f3d57f3ed45/ARYA-17-7-2235f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/b70e1daa3a4e/ARYA-17-7-2235f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/929bcdf328a5/ARYA-17-7-2235f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/92b7b8fb8f51/ARYA-17-7-2235f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/ed12d85f2066/ARYA-17-7-2235f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/a5793af4463a/ARYA-17-7-2235f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/2f3d57f3ed45/ARYA-17-7-2235f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/b70e1daa3a4e/ARYA-17-7-2235f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/929bcdf328a5/ARYA-17-7-2235f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/92b7b8fb8f51/ARYA-17-7-2235f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d395/9137234/ed12d85f2066/ARYA-17-7-2235f6.jpg

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J Clin Diagn Res. 2017 Jul;11(7):XD03-XD05. doi: 10.7860/JCDR/2017/26388.10183. Epub 2017 Jul 1.
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Breast carcinoma subtypes show different patterns of metastatic behavior.乳腺癌亚型表现出不同的转移行为模式。
Virchows Arch. 2017 Mar;470(3):275-283. doi: 10.1007/s00428-017-2065-7. Epub 2017 Jan 19.
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A typical bilateral atrial myxoma: a case report.
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Case Rep Cardiol. 2012;2012:460268. doi: 10.1155/2012/460268. Epub 2012 Jul 12.
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Breast cancer subtypes and outcomes of central nervous system metastases.乳腺癌亚型与中枢神经系统转移的结局。
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Left atrial and right ventricular myxoma: an uncommon presentation of a rare tumour.左心房和右心室黏液瘤：一种罕见肿瘤的不常见表现。
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Cutaneous manifestations of breast carcinoma.乳腺癌的皮肤表现。
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