Jugdutt B I, Rossall R E, Sterns L P
Can Med Assoc J. 1975 May 3;112(9):1099-100.
In a patient who had a calcified left atrial myxoma resected, recurrence developed 31 months later. Although complete radical resection of the recurrent tumour presented a special problem, the patient survived the second operation. The tumour recurred again and the patient had two episodes of cerebral embolism 1 1/2 and 2 years later, respectively, and died 3 1/2 years after the second operation. The erythrocyte sedimentation rate correlated with the size of the tumor, and the recurrent tumour seemed to grow more rapidly than the primary tumour. Experience with this case and a review of the nine reported cases of recurrent left atrial myxoma suggest that a radical approach is necessary at the primary operation.
一名接受了钙化性左心房黏液瘤切除术的患者,31个月后出现复发。尽管再次切除复发性肿瘤存在特殊困难,但患者在第二次手术后存活下来。肿瘤再次复发,患者分别在第二次手术后1年半和2年发生了两次脑栓塞,并在第二次手术后3年半死亡。红细胞沉降率与肿瘤大小相关,且复发性肿瘤似乎比原发性肿瘤生长得更快。该病例的经验以及对九例已报道的复发性左心房黏液瘤病例的回顾表明,初次手术时采取根治性方法是必要的。