酷似心脏黏液瘤的致死性肿块。

Lethal mass mimicking myxoma in the heart.

作者信息

Soo Wern Miin, Pang Yin Huei, Poh Kian-Keong

机构信息

Cardiac Department, National University Heart Centre, Singapore Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

Pathology Department, National University Health System, Singapore.

出版信息

Asian Cardiovasc Thorac Ann. 2014 Oct;22(8):962-4. doi: 10.1177/0218492313488896. Epub 2013 Nov 13.

DOI:10.1177/0218492313488896

PMID:24887828

Abstract

A 70-year-old man presented in advanced heart failure with jaundice. Transthoracic echocardiography revealed a 21 × 24-mm mass in the left atrium attached to the posterior mitral valve leaflet. Surgical excision was attempted, but the tumor had infiltrated the entire left atrial wall and was deemed too extensive to be resectable. Histology confirmed a high-grade pleomorphic sarcoma with malignant fibrous histiocytoma-like features. Liver biopsy revealed a high-grade liver sarcoma.

摘要

一名70岁男性因黄疸伴晚期心力衰竭就诊。经胸超声心动图显示左心房有一个21×24毫米的肿块，附着于二尖瓣后叶。尝试进行手术切除，但肿瘤已浸润整个左心房壁，被认为范围太广无法切除。组织学检查证实为高级别多形性肉瘤，具有恶性纤维组织细胞瘤样特征。肝脏活检显示为高级别肝肉瘤。