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題名 | Intraatrial Recurrence of Small Cell Lung Cancer Mimicking Superior Vena Cava Syndrome--A Case Report=小細胞肺癌心房內復發疑上腔靜脈症候群--病例報告 |
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作者 | 楊宗憲; 朱國安; 林旻希; 王鴻昌; 盧朝勇; | 書刊名 | 胸腔醫學 |
卷期 | 17:4 2002.12[民91.12] |
頁次 | 頁420-424 |
分類號 | 415.468 |
關鍵詞 | 心房轉移; 核磁共振; 小細胞肺癌; 上腔靜脈症候群; 放射線治療; Atrial metastasis; Magnetic resonance imaging; Small cell lung cancer; Superior vena cava syndrome; Radiotherapy; |
語文 | 英文(English) |
中文摘要 | 一位經化學治療反應良好的小細胞癌病人,在常規追蹤臨床上表現出像臉脹、上肢腫等斿似上腔靜脈症候群,經電腦斷層發現是心房內腫塊,並經進一步的核磁共振證實是肺癌轉移至左右心房。病人經完整的高放射劑量治療,除在臨床上表現改善外,經追蹤的電腦斷層檢查發現腫塊明顯的消失。雖上腔靜脈症候群是小細胞肺癌常見的併發症,但在我們的病例上,卻可能是罕見的左右心房轉移造成的臨床表現。對於心內腔室的腫瘤和血塊的鑑別診斷,加顯影的核磁共振是非侵犯性的重要診斷工具。此病例對放射線治療的良好反應,也許可作為轉移性心內腫瘤的另一選擇性治療。 |
英文摘要 | We present herein a case of small cell lung cancer exhibiting intracardiac metastases with a clinical appearance of superior vena cava obstruction which occurred six months after complete chemotherapy. This condition was suspected with a computed tomography of the chest, and was then confirmed by subsequent magnetic resonance imaging of the thorax. After local radiotherapy, the patient's clinical symptoms improved, and a significant diminishing of intraatrial mass was demonstrated by follow-up computed tomography of the chest. Although superior vena cava syndrome is a common complication of small cell lung cancer, our case may have resulted from an intracardiac invasion, which is rarely seen clinically. Enhanced magnetic resonance imaging is an important non-invasive diagnostic tool used to differentiate between a thrombus and an intracardiac tumor. The radiotherapy which showed success in this case may be an effective alternative management for the intracardiac metastasis of small cell lung cancer. |
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