Harth Martina, Ruemmele Petra, Knuechel-Clarke Ruth, Elsner Dietmar, Riegger Guenter
Clinic for Internal Medicine II, Klinikum der Universität Regensburg, Germany.
J Heart Valve Dis. 2003 Nov;12(6):722-5.
A very rare case of cardiac lipoma located in the mitral valve is presented. Clinical symptoms, diagnostic procedures, differential diagnosis and treatment are discussed, and the relevant literature briefly reviewed. The treatment of choice for these partially asymptomatic tumors is resection, and invasive diagnostic procedures such as transesophageal biopsy should be avoided. However, transesophageal echocardiography and magnetic resonance techniques are considered helpful in differentiating between benign and malignant tumors in order to plan effective surgery.
本文报告了一例极为罕见的位于二尖瓣的心脏脂肪瘤病例。讨论了临床症状、诊断方法、鉴别诊断及治疗,并简要回顾了相关文献。对于这些部分无症状的肿瘤,首选治疗方法是切除,应避免采用如经食管活检等侵入性诊断方法。然而,经食管超声心动图和磁共振技术在区分良性和恶性肿瘤以规划有效手术方面被认为是有帮助的。