Steger Christina Maria, Hager Thomas, Ruttmann Elfriede
Department of Pathology, Innsbruck Medical University, Müllerstraße 44, 6020 Innsbruck, Austria.
ISRN Cardiol. 2012;2012:906109. doi: 10.5402/2012/906109. Epub 2012 Jun 27.
Primary cardiac tumours are extremely rare with the most commonest being left atrial myxomas. In general, surgical resection is indicated, whenever the tumour formation is mobile and embolization can be suspected. Within 17280 patients receiving heart surgery at the Innsbruck Medical University, 78 patients (0.45%) underwent tumourectomy of primary cardiac tumours. The majority of patients (63) suffered from a left or right atrial myxoma, 12 showed a papillary fibroelastoma of the valves at echocardiographical or histological examination, 1 suffered from a hemangioma, 1 from a chemodectoma, and another one from a rhabdomyosarcoma. The mean age of cardiac tumour patients was 54.29 ± 13.28 years (ranging from 18 to 83 years). 67.95% of the patients were female and 32.05% were male. The majority of tumours were found incidentally; 97.44% of the patients showed no tumour recurrence.
原发性心脏肿瘤极为罕见,最常见的是左心房黏液瘤。一般来说,只要肿瘤可移动且怀疑有栓塞形成,就应进行手术切除。在因斯布鲁克医科大学接受心脏手术的17280例患者中,78例(0.45%)接受了原发性心脏肿瘤切除术。大多数患者(63例)患有左心房或右心房黏液瘤,12例在超声心动图或组织学检查中显示瓣膜有乳头状纤维弹性瘤,1例患有血管瘤,1例患有化学感受器瘤,另1例患有横纹肌肉瘤。心脏肿瘤患者的平均年龄为54.29±13.28岁(年龄范围为18至83岁)。67.95%的患者为女性,32.05%为男性。大多数肿瘤是偶然发现的;97.44%的患者未出现肿瘤复发。