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心脏平滑肌肉瘤,一例报告。

Cardiac leiomyosarcoma, a case report.

作者信息

Andersen Rikke E, Kristensen Bjarne W, Gill Sabine

机构信息

Department of Cardiology, Odense University Hospital, Odense, Denmark.

出版信息

Int J Clin Exp Pathol. 2013 May 15;6(6):1197-9. Print 2013.

Abstract

In this case report we present the history of a patient admitted with recurrent pulmonary edema. Transesophageal echocardiography showed a tumour in the left atrium, occluding the ostium of the mitral valve and mimicking intermittent mitral stenosis. Cardiac surgery followed by pathological examination revealed that the tumour was a leiomyosarcoma. Images from the echocardiography as well as the pathological findings are shown and discussed. The present case report illustrates that atrial tumors comprise also sarcomas, suggesting the use of careful, rapid diagnostic procedures and treatment to prevent dissemination of malignancy.

摘要

在本病例报告中,我们介绍了一名因复发性肺水肿入院患者的病史。经食管超声心动图显示左心房有一个肿瘤,阻塞二尖瓣口,酷似间歇性二尖瓣狭窄。心脏手术后的病理检查显示该肿瘤为平滑肌肉瘤。展示并讨论了超声心动图图像以及病理结果。本病例报告表明心房肿瘤也包括肉瘤,提示应采用谨慎、快速的诊断程序和治疗方法以防止恶性肿瘤扩散。

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本文引用的文献

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Malignant tumours of the heart: a review of tumour type, diagnosis and therapy.心脏恶性肿瘤:肿瘤类型、诊断与治疗综述
Clin Oncol (R Coll Radiol). 2007 Dec;19(10):748-56. doi: 10.1016/j.clon.2007.06.009. Epub 2007 Aug 10.
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