Mallia A, Travaini Ll, Trifiro G, Paganelli G
Division of Nuclear Medicine, Ospedale San Paolo, Milan, Italy.
Ecancermedicalscience. 2009;3:152. doi: 10.3332/ecancer.2009.152. Epub 2009 Aug 19.
Intra-cardiac masses present an important problem in cardiology. The differential diagnoses includes tumours, which may be primary (benign or malignant) or metastatic, and infected mural thrombi.Myxomas, sarcomas, breast, lung and renal cancer represent the commonest causes of primary benign, malignant and metastatic intra-cardiac masses, respectively.Recent studies have shown that cardiac involvement in malignant lymphoma is common but under-investigated.Diagnostic imaging techniques for detection of cardiac masses include echocardiography, CT and MRI, with echocardiography having the highest sensitivity. We propose that 18-F-PET/CT may play an important role in the detection and evaluation of intra-cardiac masses.
心内肿物是心脏病学中的一个重要问题。鉴别诊断包括肿瘤,肿瘤可能是原发性(良性或恶性)或转移性的,以及感染性附壁血栓。黏液瘤、肉瘤、乳腺癌、肺癌和肾癌分别是原发性良性、恶性和转移性心内肿物最常见的病因。最近的研究表明,恶性淋巴瘤累及心脏很常见,但研究不足。用于检测心脏肿物的诊断成像技术包括超声心动图、CT和MRI,其中超声心动图的敏感性最高。我们认为18-F-PET/CT可能在心脏肿物的检测和评估中发挥重要作用。