乳头肌纤维弹性瘤在冠状动脉多层计算机断层扫描中作为偶然发现。
Papillary fibroelastoma as an accidental finding in a multislice computed tomography of coronary arteries.
作者信息
Czekajska-Chehab Elzbieta, Tomaszewski Andrzej, Wójcik Maciej, Drop Andrzej
机构信息
Department of Radiology, University of Lublin, Poland.
出版信息
Can J Cardiol. 2006 Nov;22(13):1155-7. doi: 10.1016/s0828-282x(06)70953-9.
Papillary fibroelastomas represent less than 10% of all primary cardiac tumours. They are usually incidental autopsy or surgical findings, or detected during echocardiography or catheterization. The case of a 58-year-old man with typical exertional chest pain hospitalized for an elective multislice computed tomography (MSCT) scan of the coronary arteries is described. The MSCT scan showed a pathological, mobile lesion within the aorta lumen only, not obstructing the ostia of the coronary arteries, and was confirmed by echocardiography. The typical features of the tumour in the MSCT scan and on echocardiography were the basis for the diagnosis of papillary fibroelastomas in the patient. Surgical excision was proposed, but the patient declined.
乳头状纤维弹性瘤占所有原发性心脏肿瘤的比例不到10%。它们通常是在尸检或手术中偶然发现的，或者是在超声心动图或心导管检查过程中被检测到的。本文描述了一名58岁男性患者的病例，该患者因典型的劳力性胸痛住院，接受了冠状动脉的选择性多层螺旋计算机断层扫描（MSCT）。MSCT扫描显示仅在主动脉腔内有一个病理性的、可移动的病变，未阻塞冠状动脉开口，超声心动图也证实了这一点。MSCT扫描和超声心动图中肿瘤的典型特征是该患者诊断为乳头状纤维弹性瘤的依据。建议进行手术切除，但患者拒绝了。
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