Yanada M, Shimada J, Ito K, Terauchi K, Shimomura M
Department of Thoracic Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kyobu Geka. 2007 Dec;60(13):1148-51.
We report a case of cardiac angiosarcoma of the right atrium. A 20-year-old woman was admitted to the Kyoto Prefectural University of Medicine with severe chest pain and dyspnea. A cardiac tumor was diagnosed by computed tomography (CT), echocardiography, and cinecardiography. The tumor marker CA125 was 293 U/ml (normal : <35 U/ml). Therefore a CT-guided transthoracic needle biopsy under CT fluoroscopic guidance for definitive diagnosis was performed after obtaining the patient's informed consent. Pathohistologically, the tumor was diagnosed as a cardiac angiosarcoma. The use of an intravenous infusion of contrast material contributed greatly to clear visualization of the tumor margin and cardiac lumen and assisted in easily and correctly advancing the needle toward the tumor. Moreover, tumor marker CA125 was a good indicator of therapeutic efficacy.
我们报告一例右心房心脏血管肉瘤病例。一名20岁女性因严重胸痛和呼吸困难入住京都府立医科大学。通过计算机断层扫描（CT）、超声心动图和电影心动图诊断出心脏肿瘤。肿瘤标志物CA125为293 U/ml（正常：<35 U/ml）。因此，在获得患者知情同意后，在CT透视引导下进行了CT引导下经胸针吸活检以明确诊断。病理组织学上，该肿瘤被诊断为心脏血管肉瘤。静脉注射造影剂的使用极大地有助于清晰显示肿瘤边缘和心腔，并有助于轻松、正确地将针推进到肿瘤。此外，肿瘤标志物CA125是治疗效果的良好指标。
