Matturri L, Nappo A, Varesi C, Rossi L
Istituto di anatomia patologica, Università degli Studi di Milano.
Pathologica. 1993 Jan-Feb;85(1095):97-102.
Cardiac metastatic malignant melanoma. Secondary tumors frequently involve the heart, but the main data about incidence, rate and localization into the specialized myocardium are poor and fragmentary. Post-mortem examination of the conduction system of arrhythmic hearts was studied in two cases of malignant melanoma. In the first case signed by AV block and fibrillation, metastases involved the myocardium over atrioventricular (AV) node and the left and right bundle branch (L and RBB). The second case had not arrhythmias in the clinical picture, but a large metastatic mass involved the junctions between sinoatrial (SA) node and myocardium of the crista terminalis, the junctions between atrium and AV node and the left branch.
心脏转移性恶性黑色素瘤。继发性肿瘤常累及心脏，但关于其发病率、发生率以及在特殊心肌中的定位的主要数据匮乏且不完整。对两例恶性黑色素瘤患者心律失常心脏的传导系统进行了尸检研究。第一例有房室传导阻滞和颤动，转移灶累及房室结上方的心肌以及左右束支。第二例临床无心律失常表现，但一个大的转移肿块累及窦房结与终嵴心肌的连接处、心房与房室结的连接处以及左束支。
