Weg I L, Mehra S, Azueta V, Rosner F
Am J Med. 1986 Jan;80(1):108-12. doi: 10.1016/0002-9343(86)90057-4.
Metastatic cancer to the heart is difficult to diagnose ante-mortem. This report describes a patient with adenocarcinoma of the lung who presented with cardiac manifestations mimicking coronary artery disease. Two-dimensional echocardiography demonstrated massive cardiac infiltration with tumor, correlating with subsequent autopsy findings, which were also remarkable for endocardial implants and coronary artery emboli without myocardial infarction. Use of two-dimensional echocardiography may detect intracardiac tumor at an earlier stage.
心脏转移性癌生前很难诊断。本报告描述了一名患有肺腺癌的患者，其出现了类似冠状动脉疾病的心脏表现。二维超声心动图显示肿瘤大量浸润心脏，这与随后的尸检结果相符，尸检还发现心内膜有赘生物和冠状动脉栓塞，但无心肌梗死。使用二维超声心动图可能会在更早阶段检测到心内肿瘤。
