Fukunaga Naoto, Kitai Takeshi, Imai Yukihiro, Furukawa Yutaka, Koyama Tadaaki
Department of Cardiovascular surgery, Kobe City Medical Center General Hospital.
J Med Invest. 2017;64(1.2):181-183. doi: 10.2152/jmi.64.181.
A healthy 18-year-old girl was referred to our hospital for further evaluations of cardiac angiosarcoma. Transthoracic echocardiography showed an immobile 4.6 cm×3.7 cm cardiac mass. The mass was occupying right atrial chamber and partially, invading into annulus of tricuspid valve on transesophageal echocardiography. At surgery, the mass was seen to be protruding from right atrial appendage and adhering to right side of pericardium. The histological findings were consistent with cardiac angiosarcoma and immunological staining was positive for CD34 and CD31. Afterward, although she received radiochemotherapy, she died of metastasis of cardiac angiosarcoma more than three years after surgical resection. J. Med. Invest. 64: 181-183, February, 2017.
一名健康的18岁女孩被转诊至我院，以进一步评估心脏血管肉瘤。经胸超声心动图显示一个大小为4.6 cm×3.7 cm的固定心脏肿块。经食管超声心动图显示该肿块占据右心房腔，并部分侵犯三尖瓣环。手术中，可见肿块从右心耳突出并附着于心包右侧。组织学检查结果与心脏血管肉瘤相符，免疫组化染色CD34和CD31呈阳性。此后，尽管她接受了放化疗，但在手术切除三年多后死于心脏血管肉瘤转移。《医学调查杂志》64: 181 - 183，2017年2月。
