Cardiac metastasis from colorectal cancer: A case report
Cardiac metastasis from colorectal cancer: A case report
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DOI：
10.3748/wjg.15.2675
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发表时间：
2009-06-07
影响因子：
4.3
通讯作者：
Choi, Hyun Min
中科院分区：
文献类型：
--
作者：
Choi, Pyong Wha;Kim, Chul Nam;Choi, Hyun Min
心脏是任何恶性肿瘤转移的罕见部位。我们报告一例结直肠癌心脏转移的病例。一名 70 岁女性被转诊，推定诊断为乙状结肠癌伴心脏粘液瘤。二维超声心动图显示右心房侧壁有一个 4 cm x 4.5 cm 的移动肿块，计算机断层扫描显示右心房有一个低衰减的分叶状肿块。该患者因乙状结肠癌（T4N2）接受前切除术。此后，她出现进行性呼吸急促。因此，结直肠手术后2周进行心脏手术。组织学检查发现腺癌，与原发灶相同。尽管二维超声心动图已成为检测心脏肿瘤的首选诊断测试，但对于显示心脏肿块的结直肠癌患者，可能需要进一步的诊断评估，例如磁共振成像。 (C) 2009 WJG 出版社和百事登。版权所有。
The heart is an unusual site of metastasis from any malignancy. We report a case of cardiac metastasis from colorectal cancer. A 70-year-old woman was referred with a presumptive diagnosis of sigmoid colon cancer with cardiac myxoma. Two-dimensional echocardiography showed a 4 cm x 4.5 cm mobile mass on the lateral right atrial wall, and computed tomography revealed a low attenuated lobulating mass in the right atrium. The patient underwent anterior resection for sigmoid colon cancer (T4N2). Thereafter, she experienced progressive shortness of breath. Therefore, a cardiac operation was performed 2 wk after the colorectal operation. Histological examination revealed adenocarcinoma, which was identical to the primary lesion. Although two-dimensional echocardiography has become the diagnostic test of choice for detecting cardiac tumors, in patients with colorectal cancer showing a cardiac mass, further diagnostic evaluation such as a magnetic resonance imaging might be necessary. (C) 2009 The WJG Press and Baishideng. All rights reserved.