Castillo J G, Silvay G, Boateng P
Bratisl Lek Listy. 2016;117(1):3-10. doi: 10.4149/bll_2016_001.
The primary tumors of the heart are extremely rare. There are divided to benign, malignant and metastatic. Metastatic cardiac tumors are more common.
The incidence in contemporary echocardiographic series is reported at a higher frequency of 0.15%. 75% of cardiac tumors are benign; approximately half of these are cardiac mommas. The malignant cardiac tumors are mostly histopathologically undifferentiated, followed by leiomyosarcomas and angio-sarcomas.
Cardiac tumors have a wide range of unique clinical presentation. Even the most benign and smallest tumor can lead to significant morbidity and mortality. The clinical presentations of the primary cardiac tumors are due to: blood flow obstruction, tumor embolization and constitutional symptoms. Clinical presentations can be varied and may resemble coronary disease, pericarditis, cardiomyopathy or valve malfunction. The recent technological advances in non-invasive imaging modalities such as echocardiography and cardiac magnetic resonance imaging is rapidly increases the early diagnosis and management approach.
In this review we aim to summarize the characterization of the most common cardiac tumors. Early recognition and treatment provided the best results (Tab. 2, Fig. 6, Ref. 66).
心脏原发性肿瘤极为罕见。可分为良性、恶性和转移性。转移性心脏肿瘤更为常见。
当代超声心动图系列报道的发病率较高,为0.15%。75%的心脏肿瘤为良性;其中约一半为心脏黏液瘤。恶性心脏肿瘤大多在组织病理学上未分化,其次是平滑肌肉瘤和血管肉瘤。
心脏肿瘤有广泛独特的临床表现。即使是最良性、最小的肿瘤也可导致显著的发病率和死亡率。原发性心脏肿瘤的临床表现归因于:血流梗阻、肿瘤栓塞和全身症状。临床表现可能多种多样,可能类似于冠心病、心包炎、心肌病或瓣膜功能障碍。超声心动图和心脏磁共振成像等无创成像技术的最新进展迅速增加了早期诊断和管理方法。
在本综述中,我们旨在总结最常见心脏肿瘤的特征。早期识别和治疗可取得最佳效果(表2、图6、参考文献66)。