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孤立性肿瘤转移:右心室流出道梗阻和猝死的罕见原因。

Solitary tumour metastasis: a rare cause of right ventricular outflow tract obstruction and sudden death.

作者信息

Norell M S, Sarvasvaran R, Sutton G C

出版信息

Eur Heart J. 1984 Aug;5(8):684-8. doi: 10.1093/oxfordjournals.eurheartj.a061726.

DOI:10.1093/oxfordjournals.eurheartj.a061726
PMID:6090147
Abstract

The clinical features of a patient presenting with recent breathlessness indicated right ventricular outflow tract obstruction, while echocardiography suggested the presence of tumour in the right ventricle. Before further investigations could be instituted, she died suddenly. Autopsy revealed a haemopericardium secondary to rupture of the right atrium while the right ventricle was found to contain a tumour arising from most of its endocardial surface. Histology showed this to be a poorly differentiated mucous secreting carcinoma similar in appearance to her colonic carcinoma excised 8 years previously. There was no other evidence of metastatic disease.

摘要

一名近期出现呼吸急促症状的患者,其临床特征提示右心室流出道梗阻,而超声心动图显示右心室存在肿瘤。在能够进行进一步检查之前,她突然死亡。尸检发现是右心房破裂继发心包积血,同时发现右心室含有一个起源于其大部分心内膜表面的肿瘤。组织学检查显示这是一种低分化的黏液分泌癌,外观与8年前切除的结肠癌相似。没有其他转移性疾病的证据。

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1
Solitary tumour metastasis: a rare cause of right ventricular outflow tract obstruction and sudden death.孤立性肿瘤转移:右心室流出道梗阻和猝死的罕见原因。
Eur Heart J. 1984 Aug;5(8):684-8. doi: 10.1093/oxfordjournals.eurheartj.a061726.
2
[Right atrial metastasis as an initial clinical manifestation of adenocarcinoma of the colon].[右心房转移作为结肠癌的初始临床表现]
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[Cardiac metastases from a colonic tumor].[结肠肿瘤的心脏转移]
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Metastatic colonic carcinoma with intracavitary right ventricular outflow tract obstruction and cardiac tamponade: a case report.伴有心腔内右心室流出道梗阻及心脏压塞的转移性结肠癌:一例报告
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Obstruction of right ventricular outflow tract caused by intracavitary metastatic disease: analysis of 14 cases.腔内转移性疾病导致的右心室流出道梗阻:14例分析
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Metastasis of colorectal adenocarcinoma to the right ventricle in a young man: a case report.青年男性结直肠腺癌转移至右心室:病例报告。
Pan Afr Med J. 2023 Jan 17;44:32. doi: 10.11604/pamj.2023.44.32.37999. eCollection 2023.
2
Right Ventricular Outflow Tract Obstruction in Adults: A Systematic Review and Meta-analysis.成人右心室流出道梗阻:一项系统评价与荟萃分析
CJC Open. 2021 Apr 9;3(9):1153-1168. doi: 10.1016/j.cjco.2021.03.011. eCollection 2021 Sep.
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[Concomitant cardiovascular conditions in intestinal illness].[肠道疾病中的合并心血管疾病]
Internist (Berl). 2007 Mar;48(3):290-6. doi: 10.1007/s00108-006-1761-1.