Chu Zhi-Gang, Zhu Zhi-Yu, Liu Meng-Qi, Lv Fa-Jin
Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
J Card Surg. 2014 Mar;29(2):159-62. doi: 10.1111/jocs.12251. Epub 2013 Nov 25.
Cardiac fibromas are primarily detected in infants and children but are extremely rare in adults.
We report a case of a cardiac fibroma in a 37 year old male and review the literature on this subject.
The patient was referred for evaluation of a cardiac mass. Echocardiography and computed tomography examinations revealed it as an inhomogeneous mass with calcifications. Subsequently, the lesion was completely excised and confirmed to be a cardiac fibroma. Cardiac fibromas account for only a very small percentage of all cardiac tumors. The occurrence and severity of symptoms caused by cardiac fibromas are primarily determined by the sites and size of lesions. Imaging techniques are very sensitive in diagnosing cardiac fibromas, defining the extent and planning surgical approach. Surgical treatment of cardiac fibromas gives excellent early and late survival.
Although cardiac fibromas are benign, their behavior is unpredictable. Surgery appears to be the optimal treatment for patients with resectable tumors.
心脏纤维瘤主要在婴幼儿和儿童中被发现,但在成年人中极为罕见。
我们报告一例37岁男性心脏纤维瘤病例,并回顾关于该主题的文献。
该患者因心脏肿物评估前来就诊。超声心动图和计算机断层扫描检查显示其为一个伴有钙化的不均匀肿物。随后,该病变被完整切除并确诊为心脏纤维瘤。心脏纤维瘤在所有心脏肿瘤中仅占极小比例。心脏纤维瘤引起的症状的发生及严重程度主要取决于病变的部位和大小。影像学技术在诊断心脏纤维瘤、确定范围及规划手术方式方面非常敏感。心脏纤维瘤的手术治疗能带来良好的早期和晚期生存率。
尽管心脏纤维瘤是良性的,但其行为难以预测。对于可切除肿瘤的患者,手术似乎是最佳治疗方法。