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偶然发现巨大无症状右心房肿瘤。

Incidental finding of a giant asymptomatic right atrial tumor.

作者信息

Strecker Thomas, Agaimy Abbas, Zelzer Peter, Weyand Michael, Wachter David Lukas

机构信息

Center of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg Germany.

Institute of Pathology, Friedrich-Alexander-University Erlangen-Nuremberg Germany.

出版信息

Int J Clin Exp Pathol. 2014 Jun 15;7(7):4528-30. eCollection 2014.

Abstract

Primary cardiac tumors are very rare, atrial myxoma being the most common benign tumor of the heart. They may present with a great variety of incidental asymptomatic masses to severe life-threatening cardiovascular complications necessitating emergency surgery. Here we report the diagnostic evaluation and successful surgical resection of such a giant cardiac tumor which was found on a routine medical check-up in a 62-year-old patient. Histology confirmed diagnosis of unusually huge myxoma. This article demonstrates it's necessary to include cardiac tumors in the differential diagnosis of subtle and non-specific cardiothoracic symptoms.

摘要

原发性心脏肿瘤非常罕见,心房黏液瘤是最常见的心脏良性肿瘤。它们可能表现为各种各样的偶然无症状肿块,也可能导致严重的危及生命的心血管并发症,需要进行急诊手术。在此,我们报告一例在一名62岁患者的常规体检中发现的巨大心脏肿瘤的诊断评估及成功手术切除情况。组织学检查确诊为异常巨大的黏液瘤。本文表明,在对细微和非特异性心胸症状进行鉴别诊断时,有必要考虑心脏肿瘤。

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