Barasch E, Frazier O H, Silberman H, Shannon R L, Wilansky S
Department of Adult Cardiology, St. Luke's Episcopal Hospital/Texas Heart Institute, Houston.
J Am Soc Echocardiogr. 1994 Sep-Oct;7(5):547-9. doi: 10.1016/s0894-7317(14)80015-1.
This is the second reported case of a patient with hepatocellular carcinoma in whom the presence of a solitary, left atrial metastatic tumor was confirmed with the aid of transesophageal echocardiography. The tumor was discovered during computed tomography scanning at a follow-up examination after a 3-month regimen of chemotherapy. The patient had exhibited no signs of cardiac involvement, which may have been the result of the relatively small size of the tumor. Surgical excision of the tumor was successfully undertaken, and the patient's postoperative course was uneventful. In this case, transesophageal echocardiography was valuable in providing information regarding the exact location of the tumor and its relation to surrounding anatomical structures.
这是第二例报告的肝细胞癌患者，经食管超声心动图证实存在孤立的左心房转移瘤。该肿瘤是在为期3个月的化疗方案后的随访检查中，通过计算机断层扫描发现的。患者未表现出心脏受累迹象，这可能是肿瘤相对较小的结果。成功进行了肿瘤的手术切除，患者术后恢复顺利。在该病例中，经食管超声心动图对于提供肿瘤的确切位置及其与周围解剖结构的关系方面的信息很有价值。
