Reynen K, Bachmann K, Weber M, Wünsch P H, Nikolay J
Medizinische Klinik II mit Poliklinik, Universität Erlangen-Nürnberg.
Z Kardiol. 1995 Feb;84(2):163-8.
In a 61-year-old man, renal cell carcinoma of the right kidney was diagnosed 10 years after renal transplantation. Echocardiography revealed a right ventricular mass 5.5 x 3.5 m in size. The patient died suddenly 10 weeks later, post-mortem examination confirmed diagnosis of right ventricular metastasis of renal cell carcinoma. This case underlines the importance of echocardiographic examination in tumor patients if signs of heart failure, angina pectoris, embolism, or rhythm disturbances arise; or if cardiac murmur becomes audible, or heart size increases.
一名61岁男性在肾移植10年后被诊断为右肾肾细胞癌。超声心动图显示右心室有一个大小为5.5×3.5厘米的肿块。10周后患者突然死亡,尸检证实为肾细胞癌右心室转移。该病例强调了在肿瘤患者中,如果出现心力衰竭、心绞痛、栓塞或心律失常的迹象;或者听到心脏杂音或心脏大小增加时,超声心动图检查的重要性。