Morreau Samuel P, Haydock David A
Cardiothoracic Surgery, Auckland City Hospital, Auckland, New Zealand.
Cardiothoracic Surgery, Auckland City Hospital, Auckland, New Zealand.
Ann Thorac Surg. 2017 Jan;103(1):e21-e23. doi: 10.1016/j.athoracsur.2016.05.119.
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.
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。