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心脏肿物:来自土耳其一家三级心脏病中心的经验

Cardiac masses : Experience from a Turkish tertiary center of cardiology.

作者信息

Gecmen C, Gecmen G G, Kahyaoglu M, Omar B, Izci S, Kalayci A, Karabay C Y, Coban S, Candan O, Yanik E, Izgi I A, Barisik N O

机构信息

Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Kartal, Istanbul, Turkey.

Department of Pathology, Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey.

出版信息

Herz. 2017 Nov;42(7):690-695. doi: 10.1007/s00059-016-4508-3. Epub 2016 Dec 1.

DOI:10.1007/s00059-016-4508-3
PMID:27909765
Abstract

OBJECTIVE

Cardiac masses comprise a category that includes benign, malignant, and nontumoral mass lesions. The present study aims to share the findings relating to cardiac masses observed at our tertiary cardiology hospital in Turkey.

METHODS

The records of patients who presented with cardiac masses and underwent surgery at our institute between 2006 and 2015, and whose tissue samples were sent to a pathology laboratory, were retrospectively reviewed in a consecutive manner.

RESULTS

The study included 228 patients with an average age of 52.5 ± 17.3 years. Of the study's subjects, 95 (41.7%) were male and 133 (58.3%) female. The most commonly observed mass was myxoma in 68 patients (29.8%), of whom 20 (29.4%) were male and 48 (70.6%) female. The second most frequently detected mass was pannus, with 38 cases (16.7%) - 10 (26.3%) in males and 28 (73.7%) in females. The third most common cardiac mass was thrombus (16.2%), with 18 cases of thrombi in men (48.6%) and 19 (51.4%) in women.

CONCLUSION

The most commonly observed cardiac mass was myxoma and most were localized in the left atrium. The second most frequently detected mass was pannus, which was mostly found on mitral mechanical prosthetic valves. Thrombi were the third most prevalent mass and were commonly localized in the right atrium.

摘要

目的

心脏肿物包括良性、恶性和非肿瘤性肿物病变。本研究旨在分享在土耳其我们的三级心脏病医院观察到的与心脏肿物相关的研究结果。

方法

回顾性连续分析2006年至2015年间在我院出现心脏肿物并接受手术且组织样本被送至病理实验室的患者记录。

结果

该研究纳入了228例患者,平均年龄为52.5±17.3岁。在研究对象中,95例(41.7%)为男性,133例(58.3%)为女性。最常观察到的肿物是黏液瘤,共68例(29.8%),其中男性20例(29.4%),女性48例(70.6%)。第二常见的肿物是血管翳,有38例(16.7%),男性10例(26.3%),女性28例(73.7%)。第三常见的心脏肿物是血栓(16.2%),男性有18例血栓(48.6%),女性有19例(51.4%)。

结论

最常观察到的心脏肿物是黏液瘤,且大多数位于左心房。第二常见的肿物是血管翳,主要见于二尖瓣机械瓣膜。血栓是第三常见的肿物,通常位于右心房。

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Evaluation of p53 Polymorphism in Patients with Pannus-Derived Prosthetic Dysfunction.血管翳源性人工瓣膜功能障碍患者p53基因多态性的评估
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Cardiac Amorphous Tumor on the Mitral Valve.二尖瓣上的心脏无定形肿瘤。
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