经皮活检诊断心包疾病：病例报告及文献综述
Diagnosis of pericardial disease using percutaneous biopsy: case report and literature review.
作者信息
Gupta Kamal, Mathur Virendra S
机构信息
Department of Cardiology, St. Luke's Episcopal Hospital, Texas Heart Institute, Houston, Texas 77030, USA.
出版信息
Tex Heart Inst J. 2003;30(2):130-3.
Abstract
We describe the case of a 75-year-old man who presented with a large pericardial effusion and an intrapericardial mass. Malignant thymoma with pericardial involvement was diagnosed by percutaneous pericardial tumor biopsy. The pleural effusion was not malignant. The patient underwent further oncologic evaluation followed by adjunctive chemotherapy and radical extirpation of the tumor. He remains asymptomatic and free of disease 24 months after the procedure. We also discuss the role of percutaneous biopsy in the diagnosis of pericardial diseases.
摘要
我们报告一例75岁男性患者，其表现为大量心包积液和心包内肿块。经皮心包肿瘤活检诊断为伴有心包受累的恶性胸腺瘤。胸腔积液并非恶性。患者接受了进一步的肿瘤学评估，随后进行了辅助化疗和肿瘤根治性切除。术后24个月，他仍无症状且未出现疾病复发。我们还讨论了经皮活检在诊断心包疾病中的作用。
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本文引用的文献
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Pericardial metastasis and effusion as the initial manifestation of malignant thymoma: identification by cross-sectional echocardiography.心包转移和积液作为恶性胸腺瘤的初始表现：经胸超声心动图诊断
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