心臓転移を認めた喉頭癌例

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タイトル別名
  • A Case of Laryngeal Cancer with Cardiac Metastasis
  • 臨床 心臓転移を認めた喉頭癌例
  • リンショウ シンゾウ テンイ オ ミトメタ コウトウ ガンレイ

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<p>Introduction</p><p>Cardiac metastasis from head and neck malignancies is rare, and laryngeal carcinoma with cardiac metastasis is an extremely rare condition.</p><p>Case</p><p>An 83-year-old man presented with breathlessness, was diagnosed as having laryngeal cancer, stage T4aN2bM0 (Stage IVA), and was treated by total laryngectomy as the initial treatment. Curative resection had been achieved. However, after the treatment, the patient presented with signs of cardiac enlargement, a plain chest radiograph showed pleural effusion, and echocardiography and computed tomography revealed a huge right ventricular neoplasm. Cardiac lymphoma or sarcoma was suspected; however, we did not perform histopathological examination, and no treatment was initiated owing to rapid deterioration of the patient’s general condition. Laryngeal cancer with cardiac metastasis was definitively diagnosed by postmortem examination of the cardiac tissue.</p><p>Conclusion</p><p>We have presented a rare case of laryngeal carcinoma with cardiac metastasis, along with a literature review. Anatomically, cardiac metastases are more likely to occur in the right heart, and a plain chest X-ray and echocardiography are recommended in cancer patients presenting with dyspnea or pedal/generalized edema. Cytology and biopsy are necessary for diagnosis, but even when definitively diagnosed, treatment is very difficult. Possible presence of a metastatic lesion in the heart should be borne in mind during the course of treatment in patients with any malignant tumor.</p>

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