Ejima Koichiro, Uchida Tatsuro, Hen Yasuki, Nishio Yukiko, Nomoto Fumiko, Uchida Yoshie, Mun Jebon, Satoh Takahiro, Fujimori Kanichi, Tanino Shunsuke, Hirosawa Koshichiro, Agematsu Kota, Nanaumi Miwa, Sugimoto Koichi, Koizumi Junichi, Ohkado Akihiko, Shiikawa Akira
Department of Cardiology, Sendai Cardiovascular Center, Hondacho 21-1, Izumi-ku, Sendai 981-3107.
J Cardiol. 2003 Feb;41(2):97-102.
A 23-year-old man was admitted to our hospital for evaluation of syncope and intracardiac masses. Echocardiography revealed three masses in the right ventricle and one in the left ventricle. The largest mass, 4 by 5 cm, occupied the right ventricular outflow tract and prolapsed through the pulmonary valve orifice. Right ventricular systolic pressure was 65 mmHg. A soft mass, 4 by 5 cm, was found on the left subcostal abdominal wall and multiple pigmented spots on the face and trunk. Histological examination of the resected tumors, including the abdominal soft mass, were consistent with myxoma. The combination of multiple cardiac and abdominal wall myxomas and pigmented skin lesions in this young patient is considered to be a diagnostic feature of Carney complex.
一名23岁男性因晕厥和心内肿块入院接受评估。超声心动图显示右心室有三个肿块,左心室有一个肿块。最大的肿块为4×5厘米,占据右心室流出道并经肺动脉瓣口脱垂。右心室收缩压为65 mmHg。在左肋下腹壁发现一个4×5厘米的柔软肿块,面部和躯干有多个色素沉着斑。切除的肿瘤(包括腹部软组织肿块)的组织学检查结果与黏液瘤一致。该年轻患者出现多个心脏和腹壁黏液瘤以及色素沉着性皮肤病变的组合被认为是卡尼综合征的诊断特征。