Sütsch G, Jenni R, von Segesser L, Schneider J
Departement für Innere Medizin, Universitätsspital Zürich.
Schweiz Med Wochenschr. 1991 Apr 27;121(17):621-9.
The occurrence, type and location of cardiac tumors as detected by Doppler-echocardiography are reviewed. In a series of 20,305 consecutive echocardiographic studies performed at our institution over a four-year period, cardiac tumors were identified in 30 patients (0.15%; 17 male and 13 female, mean age 53 years). Primary cardiac tumors were detected in 21/30 patients (70%; mean age 50 years), secondary tumors in 5/30 patients (17%; mean age 58 years); however, in 4/30 patients (13%) the tumors could not be classified (mean age 59 years). In the group with primary tumors, benign cardiac tumors were found in 18/21 patients (86%) and malignant tumors in 3/21 (14%). All benign cardiac masses were myxomas (18/18) and accounted for 60% of all tumors; they were mainly located in the left atrium (16/18 or 89%) and rarely occurred in the right atrium (2/18 or 11%). One patient had a recurrence of a left atrial myxoma and a second patient of a biatrial myxoma. Three patients had a primary malignant cardiac tumor detectable either in the right atrium (leiomyosarcoma and synovial sarcoma; 2/21) or in the left ventricle (epitheliocellular sarcoma; 1/21). The group of secondary cardiac tumors consisted of different types of metastatic processes which were most often detected in the right atrium (4/5; 80%) and in one case in the left ventricle (1/5; 20%). Overall, the most frequent tumors found in this series were benign cardiac tumors represented by atrial myxoma in 18/30 patient (60%); they resided most often in the left atrium (16/30 or 53% of all tumors). All the cardiac chambers and all main adjacent cardiac vessels must be visualized and inspected carefully to detect the magnitude, origin and recurrence of cardiac tumors.
回顾了经多普勒超声心动图检测到的心脏肿瘤的发生情况、类型和位置。在我们机构四年期间连续进行的20305例超声心动图研究中，30例患者（0.15%；男性17例，女性13例，平均年龄53岁）被发现患有心脏肿瘤。21/30例患者（70%；平均年龄50岁）检测到原发性心脏肿瘤，5/30例患者（17%；平均年龄58岁）检测到继发性肿瘤；然而，4/30例患者（13%）的肿瘤无法分类（平均年龄59岁）。在原发性肿瘤组中，18/21例患者（86%）发现良性心脏肿瘤，3/21例患者（14%）发现恶性肿瘤。所有良性心脏肿块均为黏液瘤（18/18），占所有肿瘤的60%；主要位于左心房（16/18或89%），很少发生于右心房（2/18或11%）。1例患者左心房黏液瘤复发，另1例患者双心房黏液瘤复发。3例患者患有原发性恶性心脏肿瘤，可在右心房（平滑肌肉瘤和滑膜肉瘤；2/21）或左心室（上皮细胞肉瘤；1/21）检测到。继发性心脏肿瘤组由不同类型的转移过程组成，最常见于右心房（4/5；80%），1例发生于左心室（1/5；20%）。总体而言，该系列中最常见的肿瘤是良性心脏肿瘤，18/30例患者（60%）表现为心房黏液瘤；它们最常位于左心房（16/30或占所有肿瘤的53%）。必须仔细观察和检查所有心腔以及所有主要相邻心脏血管，以检测心脏肿瘤的大小、起源和复发情况。
