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积极手术切除后肺动脉肉瘤的长期生存

Prolonged Survival of Pulmonary Artery Sarcoma After Aggressive Surgical Resection.

作者信息

Morreau Samuel P, Haydock David A

机构信息

Cardiothoracic Surgery, Auckland City Hospital, Auckland, New Zealand.

Cardiothoracic Surgery, Auckland City Hospital, Auckland, New Zealand.

出版信息

Ann Thorac Surg. 2017 Jan;103(1):e21-e23. doi: 10.1016/j.athoracsur.2016.05.119.

Abstract

Pulmonary artery sarcomas are rare tumors with a poor prognosis. Presentation is usually with symptoms of cardiorespiratory dysfunction, and although preoperative diagnosis was unusual historically, modern imaging techniques allow a high degree of confidence, and transvenous catheter biopsy can give confirmation of the diagnosis. This patient survived 6 years after surgical resection of the tumor and left lung with pulmonary artery reconstruction followed by postoperative adjuvant chemotherapy. The prolonged survival supports an aggressive approach in suitable cases.

摘要

肺动脉肉瘤是一种罕见的肿瘤,预后较差。其临床表现通常为心肺功能障碍症状,尽管历史上术前诊断并不常见,但现代成像技术能提供高度的诊断信心,经静脉导管活检可确诊。该患者在手术切除肿瘤及左肺并进行肺动脉重建,随后接受术后辅助化疗后存活了6年。这种延长的生存期支持在合适的病例中采取积极的治疗方法。

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