Capotosto Lidia, Elena Giulia, Massoni Francesco, De Sio Simone, Carnevale Aldo, Ricci Serafino, Vitarelli Antonio
From the Sapienza University, Rome; and G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
Am J Forensic Med Pathol. 2016 Dec;37(4):306-316. doi: 10.1097/PAF.0000000000000271.
In the past, cardiac tumors were a just clinical curiosity and the prognosis was poor. Surgical management became possible after the advent of cardiopulmonary bypass, and more recently, preoperative diagnosis was greatly improved by the development of echocardiography, computed tomography, and magnetic resonance imaging. The value of echocardiography for diagnosing cardiac mass lesions has become well established. Numerous advances have occurred in the last 5 decades, and the evolution of echocardiography involves the development of its many modalities. This review is intended to help echocardiologists and forensic pathologists in providing good medical practice when faced with the challenge of investigating unexpected clinical signs, particularly in young people, or unexpected postmortem findings.
过去,心脏肿瘤只是临床上令人好奇的病症,预后很差。体外循环技术出现后,手术治疗成为可能,最近,超声心动图、计算机断层扫描和磁共振成像的发展极大地改善了术前诊断。超声心动图在诊断心脏肿块病变方面的价值已得到充分确立。在过去的50年里取得了许多进展,超声心动图的发展涉及到其多种模式的发展。这篇综述旨在帮助超声心动图专家和法医病理学家在面对调查意外临床体征的挑战时,尤其是在年轻人中,或意外尸检结果时,提供良好的医疗实践。