Mahdhaoui Abdallah, Bouraoui Hatem, Cheniour Mohamed, Trimech Besma, Mesghani Sonia, Majdoub Mohamed, Hayouni Abdelaziz, Hajri Samia Emez, Jeridi Gouider, Ammar Habib
Service de cardiologie CHU Farhat Hached, 4000 Sousse, Tunisie.
Rev Med Suisse Romande. 2004 Feb;124(2):115-6.
Cardiac angiosarcoma represents a primary cardiac malignancy tumor whose early diagnosis is difficult because of its non specific clinical presentation. We present the case of a 57 years old patient with medium abundance hemoptysis. The chest X ray film and CT scan showed bilateral pulmonary infiltrate without cardiac anomaly. Abdominal echography showed disseminated hepatic tumoral lesions. A transthoracic echocardiography made after apparition of heart failure symptoms found a right atrium cardiac tumor. The hepatic lesion biopsy showed angiosarcoma.
In presence of uncommon systemic symptoms like diffuse pulmonary lesions associated with cardiac anomaly, the diagnosis of angiosarcoma should be included.
心脏血管肉瘤是一种原发性心脏恶性肿瘤，因其临床表现不具特异性，早期诊断困难。我们报告一例57岁中等量咯血患者。胸部X线片和CT扫描显示双侧肺部浸润，无心脏异常。腹部超声检查显示肝脏有弥漫性肿瘤病变。出现心力衰竭症状后进行的经胸超声心动图检查发现右心房有心脏肿瘤。肝脏病变活检显示为血管肉瘤。
当出现如伴有心脏异常的弥漫性肺部病变等不常见的全身症状时，应考虑血管肉瘤的诊断。
