摘要
1986~1987年我院发现了3例原发性肝癌心脏转移。2例由尸检证实、1例经超声心动图和肝穿病理证实,均为肝细胞性肝癌。本组有两种转移途径:①通过肝静脉经下腔静脉达右心房;②肝癌膈面结节侵及膈肌并穿透隔肌直接侵及心包、心肌达右心房。1例胸骨左缘第3肋间可闻舒张期杂音,2例有 Budd-chiari 综合症。
Three cases of primary hepatic carcinoma metastasized to the heart were admitted in our hospital from 1986 to 1987.Two cases were verfied by autopsy,and one case by ultrasonic cadiogram and biopsy of the liver.All were hepatocellular carcinoma histologically.Metastatic route were:①through hepatic vein via inferior vena cava to right atrium,②the nodule or nodules of hepatic cancer penetrate diaphragm and infiltrate to the pericardium and myocardium directly.Diastolic murmur at third intercostal space of left sternal edge can be heard in one case,and Budd-Chari syndrome appeared in two cases.
出处
《中日友好医院学报》
1989年第1期35-36,2,共3页
Journal of China-Japan Friendship Hospital
关键词
肝癌
心脏
转移
hepatic carcinoma
heart
metastasize