Hioki M, Utsunomiya H, Wakabayashi T, Takei H, Iedokoro Y, Shoji T, Miyake H, Fukuda Y
Kyobu Geka. 1989 Jan;42(1):65-9.
A 32-year-old man was admitted to our hospital suffering from cough and bloody sputum. After the preoperative examination, the most suspected diagnosis was either a cardiac myxoma or a pulmonary embolism. At operation, the cavity of main pulmonary trunk was occupied with a tumor growing through the stalk from the outflow tract of right ventricle. The invasive tumor was not completely removed from the pulmonary tract. Rhabdomyosarcoma originating from the right ventricle was confirmed histologically. The patient died on the 199th postoperative day. A necropsy was not conducted. Diagnosis, operative indication and chemotherapy of cardiac rhabdomyosarcoma are discussed in this paper.
一名32岁男性因咳嗽和咯血入院。术前检查后，最可疑的诊断是心脏黏液瘤或肺栓塞。手术中，主肺动脉腔内有一个肿瘤，通过蒂从右心室流出道生长。侵袭性肿瘤未从肺动脉完全切除。组织学证实为起源于右心室的横纹肌肉瘤。患者于术后第199天死亡。未进行尸检。本文讨论了心脏横纹肌肉瘤的诊断、手术指征和化疗。
