Death due to Cardiac Metastasis after Treatment of Oral Squamous Cell Carcinoma: An Autopsy Case
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 60-year-old man presented with electrocardiographic abnormalities after treatment for oral squamous cell carcinoma with surgical resection and radiation therapy 7months ago. The patient died within 2 h without response to CPR after sudden arrest. Electrocardiographic changes 9 h before death included low QRS voltage and sinus tachycardia. Autopsy revealed cardiac metastasis with chronic active fibrinoid pericarditis accompanied by tumor cell infiltration. Although the frequency of cardiac metastasis in patients with oral cancer is reportedly low, clinicians should be aware that cardiac metastasis may exist if there are electrocardiographic changes in patients receiving follow-up care for primary malignancy. We report a rare medicolegal case of cardiac metastasis-related sudden death.
Abstract
A 60-year-old man presented with electrocardiographic abnormalities after treatment for oral squamous cell carcinoma with surgical resection and radiation therapy 7months ago. The patient died within 2 h without response to CPR after sudden arrest. Electrocardiographic changes 9 h before death included low QRS voltage and sinus tachycardia. Autopsy revealed cardiac metastasis with chronic active fibrinoid pericarditis accompanied by tumor cell infiltration. Although the frequency of cardiac metastasis in patients with oral cancer is reportedly low, clinicians should be aware that cardiac metastasis may exist if there are electrocardiographic changes in patients receiving follow-up care for primary malignancy. We report a rare medicolegal case of cardiac metastasis-related sudden death.
참고문헌 (6)
- Oliveira SM, "Cardiac metastasis from epidermoid esophageal cancer mimicking anterior myocardial infactrion", Rev Port Cardiol (2011)[DOI]
- Karwinski B, "Trends in cardiac metastasis", APMIS, 97, pp.1018~1024 (1989)
- Abraham KP, "Neoplasms metastatic to the heart: review of 3314 consecutive autopsies", Am J Cardiovasc Pathol, 3, pp.195~198 (1999)
- Al-Mamgani A, "Cardiac metastases", Int J Clin Oncol, 13, pp.369~372 (2008)
- Ito T, "Cardiac metastasis of tongue cancer may cause sudden death", Auris Nasus Larynx, 35, pp.423~425 (2008)
- Astorri E, "ECG mimicking acute myocardial infarction during heart involvement by lung neoplasm", Int J Cardiol, 74, pp.225~226 (2000)