Department of Cardiac Surgery, 1 Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Poland.
Arch Med Sci. 2011 Oct;7(5):909-13. doi: 10.5114/aoms.2011.25571. Epub 2011 Nov 8.
The heart is the rarest site for neoplasms to be localized. Despite modern diagnostic techniques, cardiac tumours continue to among those discovered latest and with the worst prognoses. We present the case of a 62-year-old woman with a heart tumour and mediastinal lymphadenopathy, who was admitted to the Department of Cardiac Surgery. The patient underwent surgical removal of the tumour with extracorporeal circulation. The left atrium, mitral valve and the left ventricle were occupied by the infiltration. A radical resection appeared to be impossible. A valvular prosthesis was not implanted. The perioperative period was uncomplicated. On the 9(th) day a local recurrence was confirmed in the transthoracic echocardiography. Further oncological diagnostics revealed the spread of the malignant neoplasm to bones of the pelvis and spine. Chemotherapy was initiated. The authors discuss the most appropriate diagnostic and treatment procedures employed in the above case.
心脏是肿瘤最罕见的定位部位。尽管现代诊断技术不断进步,但心脏肿瘤仍然是发现最晚、预后最差的肿瘤之一。我们报告了一例 62 岁女性心脏肿瘤伴纵隔淋巴结病的病例,该患者收入心脏外科。患者在体外循环下行肿瘤切除术。左心房、二尖瓣和左心室均被浸润。根治性切除似乎不可能。未植入瓣膜假体。围手术期无并发症。第 9 天,经胸超声心动图证实局部复发。进一步的肿瘤学诊断显示恶性肿瘤已扩散至骨盆和脊柱的骨骼。开始化疗。作者讨论了上述病例中最适当的诊断和治疗程序。