查詢結果分析
來源資料
相關文獻
- Primary Pericardial Mesothelioma with Cardiac Tamponade and Distant Metastasis: Case Report
- Tuberculous Pericardial Effusion with Intrapericardial Echogenic Masses-- A Case Report
- Sudden Death Shortly after Successful Pericardiocentesis in Cardiac Tamponade Complicating in Aortic Dissection--A Case Report
- Comparison between Subxiphoid Approach and Left Thoracotomy in Surgical Treatment of Malignant Pericardial Effusion--The Experience of Taipei Veterans General Hospital
- 飛行中駕駛員猝死案例報告--主動脈剝離破裂
- 鼻咽癌腦部遠處轉移--病例報告
- Cardiac Tamponade as the First Manifestation of Gastric Adenocarcinoma--A Case Report and Review of Literature
- Cytomegalovirus Pericarditis with Cardiac Tamponade in a Young Infant
- 支氣管肺類癌
- 頷下腺腺樣囊狀癌局部復發及遠處轉移病例報告
頁籤選單縮合
題 名 | Primary Pericardial Mesothelioma with Cardiac Tamponade and Distant Metastasis: Case Report=原發性心包膜間皮瘤併發心包膜填塞及遠處轉移:病例報告 |
---|---|
作 者 | 鍾昌珉; 褚柏顯; 陳仁熙; 薛純; 江正文; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁498-502 |
分類號 | 415.3164 |
關鍵詞 | 心包膜填塞; 原發性心包膜間皮瘤; 遠處轉移; Cardiac tamponade; Pericardial mesothelioma; Distant metastasis; |
語 文 | 英文(English) |
中文摘要 | 原發性心包膜間皮瘤是一種罕見的惡性腫瘤,75%的診斷都是於死亡後才診斷出來 。轉移至心包膜而造成心包膜積液的惡性腫瘤大都來自於肺臟、腸胃道、乳房等。但是以心 包膜填塞為初期表現的,則非常少見。原發性心包膜間皮瘤的診斷之所以困難在於其表現症 狀並不典型,其可能的表現症狀有端坐性呼吸、咳嗽、胸痛等。心臟超音波可以顯示心包膜 積液,而且在偵測腫瘤是息肉樣或侵入心臟腔室時很有用,但是無法偵測腫瘤的真正範圍。 核磁共振攝影是目前最佳的診斷工具。病理學檢查方面必須與其它轉移的惡性的惡性腫瘤, 尤其是腺細胞瘤作區分。在原發性心包膜腫瘤中以間皮瘤最為常見。對於局限性的間皮瘤可 以外科手術方法切除,但對於侵犯性的間皮瘤的治療則只能保守療法。因為放射治療及化學 治療對間皮瘤效果有限。原發性心包膜間皮瘤的預後是很差的,由症狀出現到死亡約六個月 。 在本病例中,一位67歲女性病人因呼吸急促、血壓下降而入本院治療。經心臟超音波檢查證 實為心包膜填塞。經緊急手術引流出850ml的血水。初期的細胞學及病理切片檢查並未顯示 有惡性腫瘤。幾個月以來,病人因心悸而再度入院。心臟超音波顯示心包膜變厚並發現有腫 瘤。胸腹部的電腦斷層攝影顯示有心包膜腫瘤及肺臟、肝臟轉移。心包膜切片檢查證實為原 發性心包膜間皮瘤。病人不幸於開刀後6天因多重器官衰竭而死亡。 目前對原發性心包膜間皮瘤的診斷及治療仍是一種挑戰。對於不明原因的心包膜填塞,原 發性心包膜間皮瘤必須列入鑑別診斷。 |
英文摘要 | Although cardical tamponade is a well-known complication of malignancy, it is uncommon as the initial manifestation. The antemortem diagnosis is difficult and distant metastasis is extremely rare. The presentations of primary pericardial mesothelioma are nonspecific. Pathologically, mesothelioma is the most common in primary tumors of the pericardium. Radical surgery can be used to treat a localized mesothelioma. However, the therapy for advanced primary pericardial mesothelioma is usually palliative because it is resistant to irradiation, and chemotherapy does not markedly improve the outcome. The prognosis is uniformly poor. The median survival from the onset of symptoms is 6 months. We present a 67-year-old woman with cardiac tamponade 4 months prior to a definitive diagnosis of primary pericardial mesothelioma. A computed tomogram confirmed multiple well-enhanced nodules in the pericardium, lungs and liver. Unfortunately, the patient died of multiple organ failure. |
本系統中英文摘要資訊取自各篇刊載內容。