全身化疗后右心房恶性淋巴瘤的手术切除

Surgical resection of malignant lymphoma in the right atrium after systemic chemotherapy.

作者信息

Igawa Takashi, Nagafuji Koji, Ejima Junichi, Nakasuga Kazuta, Ito Hiroyuki, Kaji Yoshikazu, Miyamoto Toshihiro, Harada Mine

机构信息

First Department of Internal Medicine, Faculty of Medicine, Kyushu University Hospital, Fukuoka.

出版信息

Intern Med. 2003 Apr;42(4):336-9. doi: 10.2169/internalmedicine.42.336.

DOI:10.2169/internalmedicine.42.336

PMID:12729322

Abstract

A 74-year-old man was referred to us for evaluation of a tumor in the right atrium (RA). Transesophageal echocardiography (TEE) showed an unmovable 50x60 mm mass in the RA. Based on histological findings of subcutaneous tumors in the right abdominal wall, he was diagnosed as malignant lymphoma (ML), and treated with a THP-COP regimen. Upon completion of first THO-COP therapy, TEE showed marked regression of the mass and division into 3 masses, one of which showed marked floating movement with a small stalk. To prevent the risk of embolic events, surgical resection was performed. Resected tumors were necrotic tissues. Serial imaging of cardiac tumor and surgical resection is desirable to decrease the possibility of embolic complication.

摘要

一名74岁男性因右心房（RA）肿瘤被转诊至我院。经食管超声心动图（TEE）显示右心房有一个50×60毫米的固定肿块。根据右腹壁皮下肿瘤的组织学检查结果，他被诊断为恶性淋巴瘤（ML），并接受了THP-COP方案治疗。首次THO-COP治疗结束后，TEE显示肿块明显缩小并分为3个肿块，其中一个有小蒂，显示明显的漂浮运动。为防止栓塞事件的风险，进行了手术切除。切除的肿瘤为坏死组织。对心脏肿瘤进行连续成像和手术切除有助于降低栓塞并发症的可能性。