Metastases in the thyroid gland are very rare. Even the rarer are sarcoma metastases. A 52-year-old woman was referred to our department for evaluation of a nodule in the right lobe of the thyroid gland. She had a history dermatosarcoma of the abdominal wall with known metastasis in the lung. Clinically she had neck pain and worsened swallowing. Objective assessment (ultrasound, computed tomography, and magnetic resonance) indicated a voluminous right lobe nodule with mechanical syndrome, and a fine-needle aspiration biopsy revealed a very suspicious malignant finding. After surgery, the diagnosis was metastasis of dermatofibrosarcoma protuberans. Subsequent treatment was radio- and chemotherapy.
Infarkt myokardu srdeční síně je jednotkou známou již několik desetiletí, přesto je v klinické praxi často přehlížen. Izolovaný infarkt srdeční síně je vzácný, obvykle se vyskytuje současně s infarktem komorového myokardu. Mezi hlavní komplikace infarktu síňového myokardu řadíme poruchy srdečního rytmu, tromboembolizaci a rupturu srdeční síně. Představujeme kasuistiku 84letého muže se subakutním infarktem myokardu s elevacemi úseku ST (STEMI) inferolaterálně a současným infarktem myokardu levé síně komplikovaným rupturou levé síně.
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