PDF(Pubmed)
Abstract：
UNASSIGNED: Cardiac dissemination of gastric adenocarcinoma represents an exceedingly uncommon clinical scenario. To date, there is an absence of documentation concerning the presence of tumor emboli within the cardiac chambers originating from gastric cancer, particularly following a possible transvenous migration.
METHODS: This report delineates the clinical journey of a 60-year-old female diagnosed with inoperable diffuse gastric adenocarcinoma, who developed cardiac metastases.
UNASSIGNED: The prognostication of isolated cardiac metastasis in oncology patients is fraught with difficulty due to its infrequency and non-specific clinical manifestations. While systematic screening for cardiac metastasis is not part of standard oncological protocols, heightened vigilance is warranted in specific scenarios such as advanced-stage malignancies or in the presence of suggestive cardiac symptomatology, thereby prompting further exploration.
CONCLUSIONS: Cardiac metastasis, while infrequent, constitutes a dire clinical entity that must be contemplated in the differential diagnosis of cardiac mass presentations in individuals with a neoplastic history. Prompt recognition and deployment of appropriate diagnostic imaging are pivotal for informed therapeutic decision-making. An integrative, multidisciplinary strategy is imperative for the formulation of an optimal treatment paradigm, encompassing surgical and palliative care options.
UNASSIGNED: Cardiac metastasis of gastric adenocarcinoma are extremely rare, however, in gastric cancer cases with cardiopulmonary manifestation should be considered as a probable differential diagnoses.
METHODS: This report delineates the clinical journey of a 60-year-old female diagnosed with inoperable diffuse gastric adenocarcinoma, who developed cardiac metastases.
UNASSIGNED: The prognostication of isolated cardiac metastasis in oncology patients is fraught with difficulty due to its infrequency and non-specific clinical manifestations. While systematic screening for cardiac metastasis is not part of standard oncological protocols, heightened vigilance is warranted in specific scenarios such as advanced-stage malignancies or in the presence of suggestive cardiac symptomatology, thereby prompting further exploration.
CONCLUSIONS: Cardiac metastasis, while infrequent, constitutes a dire clinical entity that must be contemplated in the differential diagnosis of cardiac mass presentations in individuals with a neoplastic history. Prompt recognition and deployment of appropriate diagnostic imaging are pivotal for informed therapeutic decision-making. An integrative, multidisciplinary strategy is imperative for the formulation of an optimal treatment paradigm, encompassing surgical and palliative care options.
UNASSIGNED: Cardiac metastasis of gastric adenocarcinoma are extremely rare, however, in gastric cancer cases with cardiopulmonary manifestation should be considered as a probable differential diagnoses.
摘要：
■胃腺癌的心脏播散代表了极其罕见的临床情况。迄今为止,目前尚无有关胃癌心腔内存在癌栓的文献，特别是在可能的经静脉迁移之后。
方法：本报告描述了一名60岁女性诊断为无法手术的弥漫性胃腺癌的临床历程，发生心脏转移的人。
■肿瘤学患者的孤立性心脏转移的预测由于其不频繁和非特异性临床表现而充满困难。虽然心脏转移的系统筛查不是标准肿瘤方案的一部分，在特定情况下，如晚期恶性肿瘤或存在提示心脏症状，需要提高警惕。从而促使进一步的探索。
结论：心脏转移，虽然不常见，构成了一个可怕的临床实体，在有肿瘤病史的个体的心脏质量表现的鉴别诊断中必须考虑。及时识别和部署适当的诊断成像对于做出明智的治疗决策至关重要。一个综合的，多学科策略对于制定最佳治疗范式至关重要，包括手术和姑息治疗选择。
■胃腺癌的心脏转移极为罕见，然而,在有心肺表现的胃癌病例中，应将其视为可能的鉴别诊断。
方法：本报告描述了一名60岁女性诊断为无法手术的弥漫性胃腺癌的临床历程，发生心脏转移的人。
■肿瘤学患者的孤立性心脏转移的预测由于其不频繁和非特异性临床表现而充满困难。虽然心脏转移的系统筛查不是标准肿瘤方案的一部分，在特定情况下，如晚期恶性肿瘤或存在提示心脏症状，需要提高警惕。从而促使进一步的探索。
结论：心脏转移，虽然不常见，构成了一个可怕的临床实体，在有肿瘤病史的个体的心脏质量表现的鉴别诊断中必须考虑。及时识别和部署适当的诊断成像对于做出明智的治疗决策至关重要。一个综合的，多学科策略对于制定最佳治疗范式至关重要，包括手术和姑息治疗选择。
■胃腺癌的心脏转移极为罕见，然而,在有心肺表现的胃癌病例中，应将其视为可能的鉴别诊断。
