Sugiyama K, Okubo T, Kamigaki Y, Kin H
Department of Cardiovascular Surgery, Nakadori General Hospital, Akita, Japan.
Jpn J Thorac Cardiovasc Surg. 2000 Oct;48(10):663-5. doi: 10.1007/BF03218225.
Metastatic cardiac liposarcoma is extremely rare, with only 2 cases previously reported, to our knowledge; of those, only 5 involved surgical resection of right ventricular liposarcoma. The first such case in Japan involved a 61-year-old woman with metastatic liposarcoma of the right ventricle. Despite emergency resection, the patient died of severe congestive heart failure 6 days after operation. Her history included surgery for liposarcoma in the right knee 11 years previously, although it is very difficult to predict that metastasis would proceed thereafter to the cardiac cavity. This rare case suggests, however, that follow-up including examination for cardiac lesions is necessary long after resection of the primary lesion.
转移性心脏脂肪肉瘤极为罕见，据我们所知，此前仅报告过2例；其中仅有5例涉及右心室脂肪肉瘤的手术切除。日本首例此类病例为一名61岁女性，患有右心室转移性脂肪肉瘤。尽管进行了急诊切除，但患者术后6天死于严重充血性心力衰竭。她的病史包括11年前右膝脂肪肉瘤手术，尽管很难预测此后会转移至心脏腔室。然而，这一罕见病例表明，在原发性病变切除后很长时间都需要进行包括心脏病变检查在内的随访。
