Bell A J, Mufti G J, Hamblin T J
Postgrad Med J. 1984 Sep;60(707):607-10. doi: 10.1136/pgmj.60.707.607.
A 71-year-old woman presented with intractable cardiac failure 10 years after receiving treatment for lymphoma. Extensive investigations failed to demonstrate a recurrence of her disease, but resolution of her cardiac failure following a trial of chemotherapy and subsequently a cross-sectional echocardiogram suggested intracardiac relapse. This was later confirmed at autopsy. Cardiac metastases should be suspected in patients with malignant disease who develop signs or symptoms related to the heart.
一名71岁女性在接受淋巴瘤治疗10年后出现顽固性心力衰竭。广泛检查未能证实疾病复发,但化疗试验后心力衰竭症状缓解,随后的心脏超声心动图提示心脏内复发。这一点后来在尸检中得到证实。对于患有恶性疾病且出现与心脏相关体征或症状的患者,应怀疑有心脏转移。