Antico V F, Hands M E, Lloyd B L
Clin Nucl Med. 1986 Feb;11(2):131-2. doi: 10.1097/00003072-198602000-00019.
Metastatic involvement of the myocardium is a rare premorbid diagnosis. Multiple examinations were performed on a 43-year-old woman who presented with ischemic chest pain, palpitations, and nausea. Twelve months previously, a poorly differentiated squamous cell carcinoma of the uterine cervix was removed with no evidence of metastases or residual tumor. Following numerous investigations, a provisional diagnosis of cardiac tumor was made. At operation, involvement of the septum, inferior wall, and apex with some extension into the distal anterior wall was noted. Histology confirmed nonkeratinizing cell carcinoma in keeping with metastases from the uterine cervix.
心肌转移瘤是一种罕见的病前诊断。对一名43岁出现缺血性胸痛、心悸和恶心症状的女性进行了多项检查。12个月前，患者接受了子宫颈低分化鳞状细胞癌切除术，当时未发现转移或残留肿瘤迹象。经过大量检查后，初步诊断为心脏肿瘤。手术中发现，间隔、下壁和心尖受累，并向前壁远端有一定程度的延伸。组织学检查证实为非角化细胞癌，符合子宫颈转移瘤表现。
