Ouzan J, Joundi A, Chapoutot L, Doucet J, Baehrel B, Elaerts J, Pluot M, Caulet T, Bajolet A
Service de cardiologie, hôpital Robert-Debré, CHU, Reims.
Arch Mal Coeur Vaiss. 1990 Jun;83(7):1011-3.
The authors report a case of malignant fibrous histiocytoma of the left atrium which was excised but rapidly recurred in a 47-year-old woman. Clinical examination, echocardiography and the absence of biochemical abnormalities were in favour of the diagnosis of left atrial myxoma. This report illustrates the clinical similarity between myxoma and sarcoma of the left atrium. Very careful anatomopathological examination of multiple sections of the tumour are necessary to distinguish it from benign tumours, especially myxomas.
作者报告了一例左心房恶性纤维组织细胞瘤,该病例发生在一名47岁女性身上,肿瘤已被切除,但很快复发。临床检查、超声心动图检查以及未发现生化异常均支持左心房黏液瘤的诊断。本报告说明了左心房黏液瘤和肉瘤在临床上的相似性。对肿瘤的多个切片进行非常仔细的解剖病理学检查对于将其与良性肿瘤,尤其是黏液瘤相区分是必要的。