Melvin K N, Howard R J, Rakowski H, Goldman B S, El-Maraghi N R
Can J Surg. 1983 Jan;26(1):86-8.
Metastases to the heart are rarely diagnosed before death. In this report the authors describe what they believe is the first case of metastasis from embryonal carcinoma of the testis to the heart that was successfully removed. Nine years after orchiectomy for embryonal carcinoma of the testis a 32-year-old man was found to have a right atrial tumour. The preliminary diagnosis was myxoma, but because of his previous testicular cancer and a metastatic deposit that had been found 6 years earlier, a diagnosis of cardiac metastasis seemed more likely. The tumour, removed from the lateral wall of the right atrium, had the same histologic features as the original embryonal carcinoma and the metastatic deposit. The patient made a smooth recovery.
心脏转移瘤在死亡前很少被诊断出来。在本报告中，作者描述了他们认为首例成功切除的睾丸胚胎癌转移至心脏的病例。一名32岁男性在因睾丸胚胎癌行睾丸切除术后9年，被发现右心房有一个肿瘤。初步诊断为黏液瘤，但由于他既往有睾丸癌病史且6年前发现过一处转移灶，心脏转移瘤的诊断似乎更有可能。从右心房侧壁切除的肿瘤具有与原发胚胎癌及转移灶相同的组织学特征。患者恢复顺利。
