Zorinas Aleksejus, Austys Donatas, Janusauskas Vilius, Trakymas Mantas, Tamulionyte Monika, Seinin Dmitrij, Karalius Rimantas, Aidietis Audrius, Stukas Rimantas, Rucinskas Kestutis
Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania; Heart Surgery Centre, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania.
Institute of Public Health, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Ann Thorac Surg. 2017 Jan;103(1):e31-e33. doi: 10.1016/j.athoracsur.2016.05.099.
Inflammatory myofibroblastic tumors (IMTs) are rare and usually appear in childhood and adolescence. These tumors often take a benign course, but tend to reoccur in a quarter of cases and metastasize locally. Distant IMT metastases are extremely uncommon. To our knowledge, metastatic spread to the heart has not been reported. We present a case of a 43-year-old woman with small intestinal IMT metastatic spread to the cavity of the left ventricle, stomach, liver, vertebra, and pelvic bones. The cardiac tumor was resected, and the patient survived for 9 months. She dies because the progression of IMT at other sites.
炎性肌纤维母细胞瘤（IMTs）较为罕见，通常出现在儿童和青少年时期。这些肿瘤通常呈良性病程，但约四分之一的病例会复发并发生局部转移。远处IMT转移极为罕见。据我们所知，尚未有转移至心脏的报道。我们报告一例43岁女性，其小肠IMT转移至左心室腔、胃、肝脏、椎骨和骨盆骨。心脏肿瘤被切除，患者存活了9个月。她因其他部位IMT的进展而死亡。
