Hemodynamic Instability Caused by Cardiac Metastases of Non-small Cell Lung Cancer - Case Studies

The incidence of cardiac metastases is 9.1% in oncologic patients, and lung cancer is the leading source. Most patients are asymptomatic, and if symptoms exist, they may mimic cardiovascular diseases. Hemodynamic instability is often life-threatening. Here, we report 2 rare cases of fatal cardiac metastases in patients with non-small cell lung cancer with hemodynamic instability. With the advances in clinical treatment and prolonged survival, the incidence of cardiac metastases is increasing. Physicians should be alert that new cardiac symptoms in patients with known malignancy can be caused by cardiac metastases. Although limited, some data shows early detection and multidisciplinary management in selected patients may improve the outcome.

關鍵字

non-small cell lung cancer (NSCLC) ； cardiac metastases (CM)

並列摘要

癌症病人心臟轉移之發生率約為9.1%，其中肺癌是心臟轉移主因。多數病人沒有症狀，臨床表徵和心血管疾病也不好區分，血流動力學不穩則通常有致命性。隨著治療技術的進步，癌症病人存活率增加，同時心臟轉移的盛行率也增加。本文呈現兩個少見的非小細胞肺癌引起之致命性心臟轉移，試圖提高臨床醫師對於心臟轉移的警覺性。對於已知有癌症診斷的病患，任何新出現的心血管相關症狀，都可能是心臟轉移的徵兆。目前已有的資料顯示，提早偵測到心臟轉移，進而配合多專科團隊的介入，有機會提高特定族群病患的存活率。

並列關鍵字

非小細胞肺癌；心臟轉移

國際替代計量

Hemodynamic Instability Caused by Cardiac Metastases of Non-small Cell Lung Cancer - Case Studies

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