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病例报告:伴有罕见心脏及其他多处转移的肺癌。

Case Report: Lung cancer with rare cardiac and other multiple metastases.

作者信息

Chen Li, Zhang Jing, Zhang Chunquan

机构信息

Department of Ultrasound, The Second Affiliated Hospital of Nanchang University, Nanchang, China.

Jiangxi Medical College of Nanchang University, Nanchang, China.

出版信息

Front Cardiovasc Med. 2024 Sep 12;11:1417906. doi: 10.3389/fcvm.2024.1417906. eCollection 2024.

Abstract

Metastasis to the left atrium is exceptionally uncommon, occurring at a rate of only 3.1%. The clinical manifestations of lung cancer metastasizing to the heart can vary widely. They range from paraneoplastic syndrome, dyspnea, and ST-segment elevation on an electrocardiogram to no clinically significant symptoms. Diverging from typical metastatic patterns observed in lung cancer, this case report presents a detailed description, from the perspective of the microenvironment, of a rare instance where lung cancer metastasized to the mediastinal lymph nodes, adrenal glands, brain, and notably, the left atrium, in a non-smoking female patient.

摘要

转移至左心房极为罕见,发生率仅为3.1%。肺癌转移至心脏的临床表现差异很大。从副肿瘤综合征、呼吸困难、心电图ST段抬高到无临床显著症状不等。与肺癌中观察到的典型转移模式不同,本病例报告从微环境的角度详细描述了一例罕见病例,即一名非吸烟女性患者的肺癌转移至纵隔淋巴结、肾上腺、脑,尤其是左心房。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/429a/11424542/0151b5d0cf0a/fcvm-11-1417906-g001.jpg

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