心脏横纹肌肉瘤
Cardiac rhabdomyosarcoma.
作者信息
Chlumský J, Holá D, Hlavácek K, Michal M, Svec A, Spatenka J, Dusek J
机构信息
Department of Internal Medicine, Motol University Hospital, Prague;
出版信息
Exp Clin Cardiol. 2001 Summer;6(2):114-7.
Cardiac sarcoma is a very rare neoplasm and is difficult to diagnose. The case of a 51-year-old man with a left atrial tumour, locally recurrent three months after its surgical removal, is presented. Computed tomography showed metastatic spread to the lung parenchyma. On revised histology, the mass extirpated was a sarcoma. Because of the metastatic spread, further therapy was symptomatic only; the patient died 15 months after the first manifestation of his problems. Immunohistochemical staining confirmed cardiac rhabdomyosarcoma with metastatic spread to the lungs. Difficulty in diagnosing and treating cardiac tumours is discussed.
心脏肉瘤是一种非常罕见的肿瘤，诊断困难。本文报道了一例51岁男性，其左心房肿瘤在手术切除三个月后局部复发。计算机断层扫描显示肿瘤已转移至肺实质。经修正的组织学检查显示，切除的肿块为肉瘤。由于已发生转移，进一步治疗仅为对症治疗；患者在首次出现问题后的15个月死亡。免疫组化染色证实为心脏横纹肌肉瘤伴肺转移。文中讨论了心脏肿瘤诊断和治疗的困难。
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