Zanini Gregoriana, Gorga Elio, Pasini Federica, Salemme Marianna, Petrilli Giulia, Bercich Luisa, Lorusso Roberto, Pasini Gian Franco
Cardiology Unit, La Memoria Hospital Gavardo, Brescia, Italy.
Department of Medical-Surgical Specialty, Radiology and Health Care, Cardiovascular Disease Section, School of Medicine, Spedali Civili Hospital, Brescia, Italy.
Cardiovasc Pathol. 2016 Jul-Aug;25(4):333-335. doi: 10.1016/j.carpath.2015.10.003. Epub 2015 Oct 20.
Primary cardiac tumors are uncommon and primary liposarcoma of the pericardium is extremely rare. We describe the case of a 55-year-old Caucasian woman without significant medical history, who presented with 3weeks complain of dyspnea, peripheral edema, and gain weight. Echocardiography revealed a huge pericardial mass confirmed by computed tomography and by magnetic resonance. The lesion was primitive of the pericardium but the surgery was not able to cut it off because of the absence of cleavage planes. Histopathologic analysis detected a dedifferentiated liposarcoma. Mediastinum compression syndrome brought the patient to the exitus in a few days.
原发性心脏肿瘤并不常见，心包原发性脂肪肉瘤极为罕见。我们报告一例55岁白种女性患者，既往无重大病史，因3周来出现呼吸困难、外周水肿及体重增加前来就诊。超声心动图显示心包有巨大肿块，计算机断层扫描和磁共振成像均予以证实。该病变起源于心包，但由于缺乏分离平面，手术未能将其切除。组织病理学分析检测为去分化脂肪肉瘤。纵隔压迫综合征导致患者在数天内死亡。
