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心脏黏液肉瘤的外科治疗

Surgical treatment of cardiac myxosarcoma.

作者信息

Suzuki Masato, Doi Hirosato, Koshima Ryuji, Sugiki Kenji, Kazui Teruhisa, Ohno Takemi

机构信息

Department of Cardiovascular Surgery, Cardiovascular Center Hokkaido Ohno Hospital, 1-1-30 Nishino-4jo, Nishi-ku, Sapporo 063-0034, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2011 Apr;59(4):284-7. doi: 10.1007/s11748-010-0673-0. Epub 2011 Apr 12.

DOI:10.1007/s11748-010-0673-0
PMID:21484557
Abstract

A 36-year-old man suffering from exertional dyspnea was admitted to our hospital. An echocardiogram showed a left atrial tumor, which was excised via the left atrial approach. Histological examination of the surgical specimen revealed that it was a myxosarcoma. Twelve months after the surgery, the tumor recurred in the left atrium, and metastatic tumors were found in the right atrium and right ventricle. Surgery was performed once again, but examinations 5 months after the second surgery showed local recurrences and multiple metastases. Although the patient had received chemotherapy, he died 30 months after the first operation.

摘要

一名36岁患有劳力性呼吸困难的男性入住我院。超声心动图显示左心房有肿瘤,经左心房入路将其切除。手术标本的组织学检查显示为黏液肉瘤。手术后12个月,肿瘤在左心房复发,并在右心房和右心室发现转移瘤。再次进行了手术,但第二次手术后5个月的检查显示有局部复发和多处转移。尽管患者接受了化疗,但在第一次手术后30个月死亡。

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