Zhang S, Ouyang F, Wang L
First Teaching Hospital of Beijing Medical University.
Zhonghua Zhong Liu Za Zhi. 1995 May;17(3):205-7.
We analysed the clinical manifestations and echocardiographic findings of cardiac metastases in 18 lung cancer cases treated in our hospital in fifteen years. All cases were chest x-ray and bronchoscopy proved lung cancer patient with cardiac metastases diagnosed by pericardial effusion cytology and echocardiographic examinations. The echocardiographic findings were as follows: 1 case with a large round-like mass constricting heart exteriorly, 2 cases with intracardiac metastases, 2 cases with both effusion and mass within the pericardial space, 13 cases with various amount of pericardial effusion characterized by quick fluid re-accumulation after pericardiocentesis. Finally, we integrate with the documents and probe into the main clinical clues and echocardiographic findings of cardiac involvements in lung cancer patients with cardiac metastases. We warn the clinical practitioners that if the diagnosed lung cancer or other malignant tumor patients exibit cardiac arrhythmia, heart failure, enlargement of heart or development of new heart murmur etc. with unknown causes in clinical practice, the possibility of cardiac metastases should be suspected and echocardiography should be done to help diagnose the sites of cardiac involvements and the degree of severity.
我们分析了我院15年间收治的18例肺癌患者心脏转移的临床表现及超声心动图检查结果。所有病例均经胸部X线及支气管镜检查证实为肺癌患者，通过心包积液细胞学检查及超声心动图检查诊断为心脏转移。超声心动图检查结果如下：1例可见巨大圆形肿物自外部压迫心脏；2例有心脏内转移；2例心包腔内既有积液又有肿物；13例有不同程度的心包积液，其特点为心包穿刺后积液迅速重新积聚。最后，我们结合文献探讨了肺癌心脏转移患者心脏受累的主要临床线索及超声心动图表现。我们提醒临床医生，在临床实践中，如果已确诊的肺癌或其他恶性肿瘤患者出现原因不明的心律失常、心力衰竭、心脏扩大或新出现心脏杂音等情况，应怀疑有心脏转移的可能，需进行超声心动图检查以协助诊断心脏受累部位及严重程度。
