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原发性心脏滑膜肉瘤:一例报告

Primary Cardiac Synovial Sarcoma: A Case Report.

作者信息

Hosseinzadeh Maleki Mahmood, Aboobakri Makouei Moein, Hatami Farbod, Zeinabadi Noghabi Reza

机构信息

Atherosclerosis and Coronary Artery Research Center, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

J Tehran Heart Cent. 2017 Jan;12(1):32-34.

PMID:28469690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5409947/
Abstract

Primary cardiac sarcomas are rare clinical entities with an incidence rate of 0.0001% in collected autopsy series and are regarded as very aggressive tumors. We herein describe a 21-year-old woman presenting with syncope, dyspnea, and abdominal distention. She suffered from massive ascites, plural effusion, and liver congestion demonstrated by abdominal sonography and chest X-ray. Transthoracic echocardiography revealed a heterogeneous solid mass located in the right atrium; therefore, the patient underwent radical surgical excision of the tumor and 3 cycles of adjuvant chemotherapy. Fifteen months after surgery, she was having a favorable life quality without any evidence of recurrence.

摘要

原发性心脏肉瘤是罕见的临床病症,在收集的尸检系列中的发病率为0.0001%,被视为极具侵袭性的肿瘤。我们在此描述一名21岁女性,她出现了晕厥、呼吸困难和腹胀症状。腹部超声和胸部X光检查显示她患有大量腹水、胸腔积液和肝淤血。经胸超声心动图显示右心房有一个不均匀的实性肿块;因此,该患者接受了肿瘤根治性手术切除及3个周期的辅助化疗。术后15个月,她生活质量良好,无任何复发迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf6/5409947/d78fa380938c/JTHC-12-32-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf6/5409947/d34e9b57ba6a/JTHC-12-32-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf6/5409947/d78fa380938c/JTHC-12-32-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf6/5409947/d34e9b57ba6a/JTHC-12-32-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf6/5409947/d78fa380938c/JTHC-12-32-g002.jpg

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本文引用的文献

1
Primary cardiac synovial sarcoma. A rare tumor with poor prognosis.原发性心脏滑膜肉瘤。一种预后较差的罕见肿瘤。
Asian Cardiovasc Thorac Ann. 2014 Sep;22(7):835-8. doi: 10.1177/0218492313483584. Epub 2013 Oct 8.
2
Primary cardiac synovial sarcoma.原发性心脏滑膜肉瘤
Interact Cardiovasc Thorac Surg. 2010 Oct;11(4):490-2. doi: 10.1510/icvts.2010.240200. Epub 2010 Jul 5.
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Outcomes after surgical resection of cardiac sarcoma in the multimodality treatment era.多模态治疗时代心脏肉瘤手术切除后的结局
J Thorac Cardiovasc Surg. 2009 Jun;137(6):1454-60. doi: 10.1016/j.jtcvs.2008.11.026. Epub 2009 Apr 2.
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Primary monophasic mediastinal, cardiac and pericardial synovial sarcoma: a young man in distress.原发性单相纵隔、心脏和心包滑膜肉瘤:痛苦的年轻人。
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Primary synovial sarcoma of the heart. A clinicopathologic study of one case and review of the literature.原发性心脏滑膜肉瘤。1例临床病理研究并文献复习
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Clinical picture: Primary cardiac synovial sarcoma.
Lancet Oncol. 2003 May;4(5):283. doi: 10.1016/s1470-2045(03)01075-1.
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Combined heart and lung transplantation for unresectable primary cardiac sarcoma.不可切除的原发性心脏肉瘤的心肺联合移植术。
J Thorac Cardiovasc Surg. 2002 Dec;124(6):1145-8. doi: 10.1067/mtc.2002.126495.
9
Primary cardiac sarcoma: a novel treatment approach.原发性心脏肉瘤:一种新的治疗方法。
Chest. 1998 Aug;114(2):648-52. doi: 10.1378/chest.114.2.648.