Kasprzak J D, Religa W, Krzemiñska-Pakula M, Marszal-Marciniak M, Zaslonka J, Pawlowski W
Department of Cardiology, Jonscher Hospital, Lódz, Poland.
J Am Soc Echocardiogr. 1996 Sep-Oct;9(5):733-5. doi: 10.1016/s0894-7317(96)90075-9.
A 40-year-old man was sent to the echocardiographic laboratory because of a heart murmur. An intracardiac mass, causing obstruction of flow within right ventricle, was diagnosed and the patient was referred to surgery. Histologic examination classified the mass as a metastasis of highly differentiated follicular carcinoma of the thyroid gland. Thyroidectomy was performed and radioiodine treatment instituted. Thus echocardiographic identification of right ventricular outflow obstructing mass was the initial presentation of follicular carcinoma of the thyroid gland. Early detection of this moderately disseminated malignancy allowed for surgical excision and systemic radioactive iodine treatment.
一名40岁男性因心脏杂音被送往超声心动图实验室。诊断发现心脏内有一个肿块，导致右心室内血流受阻，该患者被转诊至外科。组织学检查将该肿块分类为甲状腺高分化滤泡癌转移灶。患者接受了甲状腺切除术并进行了放射性碘治疗。因此，超声心动图发现右心室流出道梗阻性肿块是甲状腺滤泡癌的首发表现。对这种中度播散性恶性肿瘤的早期检测使得能够进行手术切除和全身放射性碘治疗。
