Abstract：
Metachronous carcinoma presenting as a cardiac malignancy is rare, and timely diagnosis is critical. We report a patient with a primary cardiac tumor who eventually died and performed an imaging-related literature review.
A 68-year-old Chinese male patient, who had suffered from multiple malignancies, was suddenly found to have severely reduced platelets and symptoms of decreased cardiac function. After undergoing a series of imaging examinations such as transthoracic echocardiography and positron emission tomography-computed tomography, he was found to have a large occupancy within the right heart and was finally diagnosed with a primary cardiac malignancy. Combined with the patient\'s previous medical history, it was judged that this time it was a metachronous carcinoma. The patient was unable to accept the risk of surgery and eventually died.
This is a case report reporting a cardiac malignancy. This case highlights the importance of using multiple imaging modalities to make a common diagnosis and the need for more detailed evaluation in patients with metachronous carcinoma.
A 68-year-old Chinese male patient, who had suffered from multiple malignancies, was suddenly found to have severely reduced platelets and symptoms of decreased cardiac function. After undergoing a series of imaging examinations such as transthoracic echocardiography and positron emission tomography-computed tomography, he was found to have a large occupancy within the right heart and was finally diagnosed with a primary cardiac malignancy. Combined with the patient\'s previous medical history, it was judged that this time it was a metachronous carcinoma. The patient was unable to accept the risk of surgery and eventually died.
This is a case report reporting a cardiac malignancy. This case highlights the importance of using multiple imaging modalities to make a common diagnosis and the need for more detailed evaluation in patients with metachronous carcinoma.
摘要：
表现为心脏恶性肿瘤的异时性癌很少见，及时诊断至关重要。我们报告了一名原发性心脏肿瘤患者最终死亡，并进行了影像学相关文献综述。
一名68岁的中国男性患者,患有多种恶性肿瘤的人，突然发现血小板严重减少和心脏功能下降的症状。经过一系列的影像学检查，如经胸超声心动图和正电子发射断层扫描-计算机断层扫描，他被发现右心内有很大的占位，最后被诊断出患有原发性心脏恶性肿瘤。结合患者既往病史,这次判断是异时性癌。患者无法接受手术风险，最终死亡。
这是一例报告心脏恶性肿瘤的病例报告。此病例强调了使用多种成像方式进行共同诊断的重要性，以及对异时性癌患者进行更详细评估的必要性。
一名68岁的中国男性患者,患有多种恶性肿瘤的人，突然发现血小板严重减少和心脏功能下降的症状。经过一系列的影像学检查，如经胸超声心动图和正电子发射断层扫描-计算机断层扫描，他被发现右心内有很大的占位，最后被诊断出患有原发性心脏恶性肿瘤。结合患者既往病史,这次判断是异时性癌。患者无法接受手术风险，最终死亡。
这是一例报告心脏恶性肿瘤的病例报告。此病例强调了使用多种成像方式进行共同诊断的重要性，以及对异时性癌患者进行更详细评估的必要性。
