Cardiac Metastasis of Malignant Melanoma - A case report -

심장으로 전이된 악성 흑색종 - 1례 보고 -

  • 김오곤 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 홍종면 (충북대학교 의과대학 흉부외과교실) ;
  • 이석재 (충북대학교 의과대학 흉부외과교실) ;
  • 홍장수 (충북대학교 의과대학 흉부외과교실)
  • Published : 1999.09.01

Abstract

We report a case of a resection of very large intracavitary metastatic malanoma causing obstruction of the right ventricular inflow and outflow tract of the heart. A 49-year-old woman with dyspnea and generalized edema was seen. Echocardiography reveal an intra cavitary mass occupying the entire right ventricle and pericardial effusion. The lesion was palliatively resected using a cardiopulmonary bypass and was confirmed as a malignant melanoma. The patient is alive and improved symptomatically 30days after the operation.

저자는 심장의 우심실내에 입구와 출구를 막는 커다란 전이성 흑색종 1례를 수술치험하였기에 보고한다. 49세 여자환자로 호흡곤란과 전신부종의 증상을 보였다. 심초음파상 우심실내에 커다란 종괴와 심낭액을 보 였다. 심폐 체외순환후 심실내 종괴를 제거하였고, 악성 흑색종으로 판명되었다. 환자는 수술후 30일 현재 양호하다.

Keywords

References

  1. Ann Thorac Surg v.49 Intracavitary melanoma of the left atrium Canver CC;Lajos TZ;Bernstein Z;DuBois DP;Mentzer RM Jr.
  2. Chest v.92 Metastatic malignant melanoma presenting clinically as obstruction of the right ventricular inflow and outflow tracts Emmot WW;Vacek JL;Agee K;Moran J;Dunn MI
  3. Cancer Invest v.12 Case report: Clinical findings and successful resection of melanoma metastatic to the right atrium Merer DM;Dutcher JP;Mercando A(et al)
  4. Chest v.77 The "charcoal heart": melanoma of the cor Waller BF;Gottdiener JS;Virmani R(et al)
  5. Cancer v.63 Right ventricular metastatic melanoma 27 years after resection of the primary tumor Mindell SM;Chernick AW;Surarman MH;Zirkin RM;Bloom RE
  6. Ann Thorac Surg v.61 Complete resection of right atrial intracavitary metastatic melanoma Chen RH;Gaos CM;Frazier OH
  7. Ann Thorac Surg v.65 Right atrial metastatic melanoma in a patient with transient ischemic attacks Prabhakar G;Vasilakis A;Hill RC(et al)