口腔鳞状细胞癌的心脏转移：罕见病例报告

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-25 DOI:10.1016/j.radcr.2024.10.139

Mark Marreros MD , Nicolas Dulguerov MD , Maxime Mermod MD, PhD

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引用次数: 0

摘要

一名患有口底鳞状细胞癌的 58 岁男性接受了肿瘤切除和口底重建手术。意想不到的是，术前颈胸计算机断层扫描（CT）显示可能存在右心室壁内血栓，因此开始使用非分细肝素。随访超声心动图显示血栓没有减少，这引起了对心内转移的担忧。2-脱氧-2-[氟-18]氟-D-葡萄糖正电子发射计算机断层扫描（18F-FDG PET/CT）显示右心室有高代谢肿块，令人担忧肿瘤远处转移。在抗凝治疗下，患者出现了复发性肿瘤相关出血，需要紧急进行舌动脉栓塞治疗。由于病情恶化，患者放弃了手术治疗，转而接受姑息性化疗和免疫治疗，结果原发病灶和转移病灶均明显消退。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cardiac metastasis from squamous cell carcinoma of the oral cavity: A rare case report

A 58-year-old male with squamous cell carcinoma of the floor of mouth underwent surgical planning for tumor resection and floor of mouth reconstruction. Unexpectedly, preoperative cervico-thoracic computed tomography (CT) indicated possible right ventricular intramural thrombosis, prompting initiation of unfractionated heparin. Follow-up echocardiography revealed no thrombus reduction, raising concerns of intracardiac metastasis. Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro- D-glucose with computed tomography (¹⁸F-FDG PET/CT) showed a hypermetabolic mass in the right ventricle, raising concern for a distant tumor metastasis. Under anti-coagulation, the patient experienced recurrent tumor-related hemorrhage, necessitating urgent lingual artery embolization. Due to disease progression, surgical options were dismissed in favor of palliative chemo-immunotherapy, which both led to significant regression of both primary and metastatic lesions.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.