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[黏液样脂肪肉瘤巨大心脏转移导致心脏压塞;病例报告]

[Giant cardiac metastasis of myxoid liposarcoma causing cardiac tamponade; report of a case].

作者信息

Matsumoto M, Suehiro K, Kubo K, Tsushima Y, Yoshitaka H, Kuinose M, Minami H, Monobe Y

机构信息

Department of Cardiovascular Surgery, Tsuyama Chuo Hospital, Tsuyama, Japan.

出版信息

Kyobu Geka. 2007 Jan;60(1):65-8.

Abstract

We report a very rare case of cardiac metastasis of myxoid liposarcoma. A 55-year-old man presented with dyspnea. Two and a half years ago, he underwent resection of myxoid liposarcoma in the left thigh. Magnetic resonance imaging (MRI) revealed a giant tumor occupying the pericardiac cavity and pressing the heart and consequently causing cardiac tamponade. The patient underwent surgery through a left thoracotomy approach. The pericardiac cavity was filled with a giant tumor with a stalk from the right ventricle and 2 small nodules on the main pulmonary artery. He was relieved from the symptom: however, he had a recurrence of the tumor at the same site 5 months after the operation. He underwent surgery for the removal of the second tumor; however, he died 49 days after the operation. Although cardiac metastasis is a very rare condition, its awareness is essential for careful long-term follow-up for the early detection of a metastatic cardiac liposarcoma after the resection of the primary tumor.

摘要

我们报告一例非常罕见的黏液样脂肪肉瘤心脏转移病例。一名55岁男性因呼吸困难就诊。两年半前,他接受了左大腿黏液样脂肪肉瘤切除术。磁共振成像(MRI)显示一个巨大肿瘤占据心包腔并压迫心脏,进而导致心脏压塞。患者通过左胸切开术进行手术。心包腔内充满一个巨大肿瘤,其蒂来自右心室,主肺动脉上有2个小结节。他的症状得到缓解;然而,术后5个月肿瘤在同一部位复发。他接受了切除第二个肿瘤的手术;然而,术后49天死亡。尽管心脏转移非常罕见,但认识到这一点对于在原发性肿瘤切除后进行仔细的长期随访以早期发现转移性心脏脂肪肉瘤至关重要。

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