심장으로 전이된 악성 흑색종 - 1례 보고 -

Cardiac Metastasis of Malignant Melanoma - A case report -

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

초록

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.

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.

키워드

참고문헌

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