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姑息性手术治疗侵犯上腔静脉和右心房的恶性纵隔肿瘤。

Palliative surgery for malignant mediastinal tumor invading the superior vena cava and right atrium.

机构信息

Division of Cardiovascular Surgery, Department of Cardiovascular Surgery, Awaji Hospital, Hyogo, Japan.

出版信息

Ann Thorac Surg. 2011 Aug;92(2):720-2. doi: 10.1016/j.athoracsur.2011.02.024.

DOI:10.1016/j.athoracsur.2011.02.024
PMID:21801928
Abstract

Intra-atrial extension of a superior vena cava (SVC) tumor is rare and it is associated with high mortality rates. An 80-year-old woman presented with malignant mediastinal tumor invading the superior vena cava and right atrium. The unresectable tumor caused uncontrolled SVC syndrome and led to the risk of pulmonary artery tumor thrombosis. Palliative surgery for the intracaval and atrial tumor was performed. Presently, 6 months after surgery, the patient remains free from SVC syndrome and has received effective adjuvant chemotherapy to reduce the size of the tumor.

摘要

上腔静脉(SVC)肿瘤的房内延伸较为罕见,且与高死亡率相关。一名 80 岁女性因恶性纵隔肿瘤侵犯上腔静脉和右心房而就诊。该无法切除的肿瘤导致不可控的 SVC 综合征,并引发肺动脉肿瘤血栓形成的风险。对腔静脉内和心房内肿瘤进行了姑息性手术。目前,手术后 6 个月,患者仍无 SVC 综合征,并且已接受有效的辅助化疗以缩小肿瘤。

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Ann Thorac Surg. 2011 Aug;92(2):720-2. doi: 10.1016/j.athoracsur.2011.02.024.
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