フルテキストファイル
著者
Kawamoto Katsuyuki Department of Oto-Rhino-Laryngology, Tottori University Faculty of Medicine KAKEN
Nosaka Aya Department of Oto-Rhino-Laryngology, Tottori University Faculty of Medicine
Takeuchi Hiromi Department of Oto-Rhino-Laryngology, Tottori University Faculty of Medicine 研究者総覧 KAKEN
キーワード
cardiac echography
cardiac metastasis
tongue carcinoma
抄録
We report a rare case of a patient suffering from cardiac metastasis with tongue carcinoma. A 71-year-old Japanese man was admitted to our clinic at Tottori University Hospital in June 1997. We diagnosed his disease as stage T2 N2 M0 squamous cell carcinoma of the tongue, and performed a partial resection of the tongue and a right-side radical neck dissection. The postoperative course was uneventful, and follow-up was continued. In March 1998, he visited us complaining of anorexia and constipation. On electrocardiogram (ECG), ST waves were elevated in leads I, aVL, V5 and V6, and depressed in lead aVF. Cardiac echogram revealed a shadow-like tumor in the lower portion at the lateral wall of the left ventricle. He had a sudden and serious arrhythmic attack on 12 March, and he died of cardiac insufficiency by arrhythmia on 22 March 1998. An autopsy showed that a cardiac tumor had invaded mainly into the anterior and lateral wall of the left ventricle, and had reached the septum. Microscopically, the tongue carcinoma had invaded the myocardium. With the uncommon ECG and cardiac-echographic findings, we could clinically make an antemortem diagnosis for the present patient. The paucity of antemortem diagnosis of cardiac metastasis in the literature emphasizes the uniqueness.
出版者
Tottori University Faculty of Medicine
資料タイプ
学術雑誌論文
ISSN
1346-8049
書誌ID
AA00892882
掲載誌名
Yonago Acta medica
最新掲載誌名
Yonago Acta medica
44
2
開始ページ
131
終了ページ
136
発行日
2001-07
著者版フラグ
出版社版
著作権表記
Yonago Acta medica 編集委員会
掲載情報
Yonago Acta medica. 2001, 44(2), 131-136
部局名
医学部・医学系研究科・医学部附属病院
言語
英語