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(1) 本组恶性肿瘤心脏转移率14%,生前确诊率8.96%。且心脏转移范围(特别是心肌和/或心肌间质)与临床心脏征象的关系,较之与受累部位的关系尤为密切。(2) 心电图和胸部X线检查,对诊断心脏转移瘤有重要参考价值。而心脏记波摄影、超声心动图或心脏收缩图等辅助检查,结合临床心脏征象,可望提高生前确诊率,为治疗争取机会。(3) 对确诊者,临床采用局部放疗或化疗(如恶性心包积液),和/或全身化疗,对改善症状、延长生存期有一定积极作用。
(1) The rate of heart metastasis in this group of malignant tumors was 14%, and the rate of final diagnosis was 8.96%. And the relationship between the range of cardiac metastases (especially myocardial and/or myocardial interstitial) and clinical cardiac signs is more closely related to the site of involvement. (2) Electrocardiogram and chest X-ray examination have important reference value for the diagnosis of cardiac metastases. The auxiliary examinations such as cardiac wave imaging, echocardiography, or systole, combined with clinical cardiac signs, are expected to increase the rate of definitive prenatal care and provide opportunities for treatment. (3) For patients with confirmed diagnoses, clinical use of local radiotherapy or chemotherapy (such as malignant pericardial effusion) and/or systemic chemotherapy may have a positive effect on improving symptoms and prolonging survival.