肺癌和左侧心脏病:当癌细胞向左移动时
Alessandro Giaj Levra1, Sara Facetti2, Corinna Inserra2
1Department of Biomedical Sciences, Humanitas University, Milan, Italy; Department of Cardiovascular Medicine, IRCCS Humanitas Research Hospital, Milan, Italy.
JACC. Case reports
|March 2, 2026
概括
影响左心的癌性心脏病 (CHD) 是罕见的,难以诊断. 生物标志物可能是负的,这使得早期检测和治疗这种神经内分泌瘤并发症变得复杂.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 癌性心脏病 (CHD) 是一种罕见的功能障碍,由神经内分泌瘤分泌物引起.
- 在心血管疾病中,左侧心脏膜 (心心膜和大动脉) 的参与特别罕见.
研究的目的:
- 为了突出左侧癌性心脏病的诊断挑战.
- 在患有肺癌的患者中呈现左侧心脏病的病例.
主要方法:
- 一个53岁的妇女的病例介绍,患有呼吸不全和严重的腹.
- 心声图显示了典型的膜加厚和运动受限.
- 通过手术替换额头膜和大动脉,并通过组织学证实心血管疾病.
主要成果:
- 这位患者出现了严重的甲状腺和中度的大动脉吐.
- 癌活性的生物标志物在很大程度上是负的,尽管N-终端增高的B型亲性尿素.
- 组织学检查证实了膜更换后的癌性心脏病.
结论:
- 左侧心脏病,虽然很少见,但可以与肺癌发生.
- 由于可能存在负面生物标志物的可能性,诊断具有挑战性.
- 多学科评估和手术干预对于管理左侧心血管疾病至关重要.
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