Gupta Nalini
Department of Histopathology SRL (Religare) Reference Laboratory , Gurgaon, Haryana, India .
J Clin Diagn Res. 2013 Jan;7(1):169-70. doi: 10.7860/JCDR/2012/4714.2699. Epub 2013 Jan 1.
Hemangiomas of the pericardium are very rare primary pericardial tumours. Very few cases of pericardial hemangioma have been reported in the literature till date. We are reporting a case of a 40 years old male who presented with the complaints of chest discomfort and palpitation on exertion, of 3 months duration. ECHO and Colour Doppler ECHO which were done, revealed a large heterogeneous mass which measured 7.6 × 7.1cms, which was possibly attached to the roof and the anterior surface of the left atria, which was possibly a myxoma. Based on the radiological findings, a diagnosis of left atrial myxoma was considered. However, intra operatively, an encapsulated mass was seen within the pericardium, which was successfully excised and sent for histopathology. The histopathological examination revealed an intrapericardial hemangioma. This case has been reported on account of its extreme rarity.
心包血管瘤是非常罕见的原发性心包肿瘤。迄今为止,文献中报道的心包血管瘤病例极少。我们报告一例40岁男性患者,有3个月的劳力性胸部不适和心悸主诉。所做的超声心动图和彩色多普勒超声心动图显示一个大小为7.6×7.1厘米的大的不均匀肿块,可能附着于左心房顶部和前表面,可能是一个黏液瘤。基于影像学表现,考虑诊断为左心房黏液瘤。然而,术中在心包内发现一个有包膜的肿块,成功切除并送去做组织病理学检查。组织病理学检查显示为心包内血管瘤。报道该病例是因其极为罕见。