Izzo Paolo, Ricci Nunzia, Capolupo Rosalia, Villani Pier Carlo, Federici Fabrizio, Roma Francesco, Curcio Carmine
Divisione di Cardiologia e Dipartimento di Cardiochirurgia, Casa di Cura Villa Bianca, Città di Bari Hospital, Bari, Italy.
J Cardiovasc Med (Hagerstown). 2007 Mar;8(3):210-3. doi: 10.2459/01.JCM.0000260842.68532.04.
We describe a case of a rare primary chondrosarcoma of the heart in a 62-year-old woman who was referred to our institution with a diagnosis of left atrial undetermined mass. Despite utilization of transesophageal echocardiography and multislice computed tomography imaging, the definitive diagnosis of chondrosarcoma was achieved only with histology of the operative specimen. The tumor was extending from the left atrium to the left pulmonary veins causing obstruction of the venous drainage and a clinical and radiological picture of persistent respiratory infection. Surgery achieved only partial resection of the mass, including the removal of the obstruction to the pulmonary venous drainage. After surgery, a rapid healing of the respiratory infection was observed; however, 3 months later, the tumor was already regrowing rapidly.
我们描述了一例62岁女性罕见的原发性心脏软骨肉瘤病例，该患者因诊断为左心房不明肿物转诊至我院。尽管使用了经食管超声心动图和多层计算机断层扫描成像，但仅通过手术标本的组织学检查才确诊为软骨肉瘤。肿瘤从左心房延伸至左肺静脉，导致静脉引流受阻，并出现持续呼吸道感染的临床和影像学表现。手术仅部分切除了肿物，包括解除肺静脉引流的梗阻。术后观察到呼吸道感染迅速愈合；然而，3个月后，肿瘤已迅速复发。
