Mendoza Cesar, Bernstein Erik, Ferreira Alexandre
Division of Cardiology, Jackson Memorial Hospital, Miami, Florida 33136, USA.
Tex Heart Inst J. 2007;34(2):236-9.
Cardiac myxomas are the most common primary cardiac tumors. Surgical resection usually provides definitive treatment; however, postoperative tumor recurrence has been reported, especially when myxomas occur as part of a familial pattern. Only a few cases of 2nd recurrence of nonfamilial cardiac myxoma have been reported. We report 2 cases of nonfamilial cardiac myxoma, with multiple recurrences after surgical resection. The possibility of repeated recurrence of cardiac myxomas demonstrates the importance of regular echocardiography after surgical resection in order to detect such recurrence. Future studies, including genetic analysis of patients with recurrent cardiac myxomas, are warranted to investigate the nature of these tumors.
心脏黏液瘤是最常见的原发性心脏肿瘤。手术切除通常可提供确定性治疗;然而,术后肿瘤复发的情况已有报道,尤其是当黏液瘤以家族性模式出现时。非家族性心脏黏液瘤二次复发的病例仅报道过少数几例。我们报告2例非家族性心脏黏液瘤,手术切除后多次复发。心脏黏液瘤反复复发的可能性表明,手术切除后定期进行超声心动图检查以检测此类复发的重要性。有必要开展包括复发性心脏黏液瘤患者基因分析在内的进一步研究,以探究这些肿瘤的本质。