Luo Shuai, Tian Xiaoxue, Xu Ting, Wang Jinjing
Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Front Cardiovasc Med. 2025 Jan 8;11:1500108. doi: 10.3389/fcvm.2024.1500108. eCollection 2024.
Metastatic tumours are the most common malignant tumours affecting the heart. Cardiac metastatic tumour progression is rapid, with no specific treatments available, and the prognosis is typically poor. Significant challenges remain in the diagnosis and treatment of cardiac metastases.
A 52-year-old female presented with a history of exertion palpitations lasting over 2 months, worsened by cough and expectoration for 3 days. Colour Doppler echocardiography revealed a hypoechoic mass in the left atrium, which was excised. Postoperative pathology confirmed metastatic squamous cell carcinoma of the left atrium. Six months after surgical removal, the patient remained in good general condition.
Intracardiac metastasis is extremely rare and presents with non-specific clinical symptoms, often leading to oversight by clinicians. Early diagnosis relies on imaging studies, while definitive diagnosis requires pathological examination. Timely detection is crucial to improving patient prognosis.
转移性肿瘤是影响心脏的最常见恶性肿瘤。心脏转移性肿瘤进展迅速，没有可用的特异性治疗方法，预后通常较差。心脏转移瘤的诊断和治疗仍然面临重大挑战。
一名52岁女性，有劳力性心悸病史超过2个月，咳嗽咳痰3天加重。彩色多普勒超声心动图显示左心房有一低回声团块，予以切除。术后病理证实为左心房转移性鳞状细胞癌。手术切除6个月后，患者一般状况良好。
心脏内转移极为罕见，临床表现无特异性，常导致临床医生漏诊。早期诊断依赖影像学检查，而明确诊断需要病理检查。及时发现对改善患者预后至关重要。
