Cardiac Surgery Department, Ospedale del Cuore "G. Pasquinucci," Fondazione Toscana "G. Monasterio," Massa, Italy; Scuola Superiore "Sant'Anna," Institute of Life Sciencies, Pisa, Italy.
Ann Thorac Surg. 2013 Aug;96(2):e49-51. doi: 10.1016/j.athoracsur.2013.02.053.
A 68-year-old woman with a 2-year history of dyspnea and fatigue was admitted to our hospital with a massive pericardial effusion. Computed tomography and cardiovascular magnetic resonance imaging revealed a huge (17 cm maximum diameter) intrapericardial mass. After successful tumor resection, a giant solitary fibrous tumour of the epicardium was diagnosed by histology. Histologic features of malignancy were absent, and the patient is alive and well 1 year after the operation, undergoing close follow-up at regular intervals. Recurrences have been exceptionally reported in benign solitary fibrous tumors, and experience with this exceptionally rare and enigmatic cardiac tumor is lacking.
一位 68 岁女性，有 2 年呼吸困难和疲劳病史，因大量心包积液而入院。计算机断层扫描和心血管磁共振成像显示巨大的心包内肿块（最大直径 17 厘米）。肿瘤切除成功后，组织学诊断为巨大的心外膜孤立性纤维瘤。组织学无恶性特征，患者术后 1 年仍存活且状况良好，定期密切随访。良性孤立性纤维瘤有罕见复发报道，这种极其罕见且神秘的心脏肿瘤的经验有限。
