Moriarty A T, Nelson W A, George K, Waller B F
Department of Pathology, Indiana University School of Medicine, Indianapolis 46223.
Diagn Cytopathol. 1988;4(3):250-3. doi: 10.1002/dc.2840040314.
Atrial myxoma is the most common primary neoplasm of the heart, but "metastatic" or embolic phenomena are rare. The first reported case of "metastatic" atrial myxoma diagnosed by fine-needle aspiration biopsy is presented. It occurred in a 54-yr-old woman with multiple metastatic lesions. The cytologic and histologic findings of the fine-needle aspiration biopsy and subsequent surgical excision are presented as is a discussion of the incidence, origin, and clinical findings of atrial myxoma and the characteristics of its emboli.
心房黏液瘤是心脏最常见的原发性肿瘤,但“转移”或栓塞现象罕见。本文报告首例经细针穿刺活检诊断为“转移性”心房黏液瘤的病例。该病例发生在一名54岁有多处转移病灶的女性患者身上。文中呈现了细针穿刺活检及后续手术切除的细胞学和组织学检查结果,并对心房黏液瘤的发病率、起源、临床表现及其栓子的特征进行了讨论。