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右心房血管肉瘤累及上腔静脉和下腔静脉,表现为完全性心脏传导阻滞和大量心包积液。

Angiosarcoma of the Right Atrium with Extension to SVC and IVC Presenting with Complete Heart Block and Significant Pericardial Effusion.

作者信息

Vakili Hossein, Khaheshi Isa, Memaryan Mehdi, Esmaeeli Shooka

机构信息

Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Student Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.

出版信息

Case Rep Cardiol. 2016;2016:3173069. doi: 10.1155/2016/3173069. Epub 2016 Mar 27.

DOI:10.1155/2016/3173069
PMID:27110407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4826677/
Abstract

Primary cardiac neoplasms are particularly unusual. Angiosarcoma is the most frequently seen histological subtype and is described by its infiltrating and damaging nature. Inappropriately, primary cardiac angiosarcoma is often missed as a preliminary diagnosis because of its scarcity. We present a 29-year-old previously healthy man with complete heart block and pericardial effusion who was finally diagnosed with angiosarcoma of the right atrium with extension to SVC and IVC.

摘要

原发性心脏肿瘤极为罕见。血管肉瘤是最常见的组织学亚型,其特点是具有浸润性和破坏性。由于原发性心脏血管肉瘤较为罕见,其初步诊断常常被漏诊。我们报告一例29岁既往健康的男性,出现完全性心脏传导阻滞和心包积液,最终诊断为右心房血管肉瘤并侵犯上腔静脉和下腔静脉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d4/4826677/9bef69563e25/CRIC2016-3173069.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d4/4826677/9bef69563e25/CRIC2016-3173069.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d4/4826677/9bef69563e25/CRIC2016-3173069.001.jpg

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本文引用的文献

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Primary cardiac angiosarcoma: A diagnostic challenge in a young man with recurrent pericardial effusions.原发性心脏血管肉瘤:一名反复出现心包积液的年轻男性面临的诊断挑战。
Exp Clin Cardiol. 2012 Spring;17(1):39-42.
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Cardiac angiosarcoma management and outcomes: 20-year single-institution experience.心脏血管肉瘤的治疗和预后:20 年单中心经验。
Ann Surg Oncol. 2012 Aug;19(8):2707-15. doi: 10.1245/s10434-012-2334-2. Epub 2012 Apr 3.
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Clinicopathologic and immunohistochemical characteristics of adult primary cardiac angiosarcomas: analysis of 10 cases.
成人原发性心脏血管肉瘤的临床病理和免疫组织化学特征:10 例分析。
Ann Diagn Pathol. 2011 Aug;15(4):262-7. doi: 10.1016/j.anndiagpath.2011.02.007. Epub 2011 May 4.
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