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用于评估心脏肿物的多模态成像——原发性心脏肉瘤一例

Multimodal Imaging for the Assessment of a Cardiac Mass - A Case of Primary Cardiac Sarcoma.

作者信息

Abels Benjamin, Pfeiffer Steffen, Stix Jana, Schwab Johannes

机构信息

Institute of Radiology and Nuclear Medicine, Paracelsus Medical University, Nuremberg General Hospital, Germany.

Department of Cardiac Surgery, Paracelsus Medical University, Nuremberg General Hospital, Germany.

出版信息

J Radiol Case Rep. 2017 Nov 30;11(11):11-19. doi: 10.3941/jrcr.v11i11.3194. eCollection 2017 Nov.

Abstract

We present a case of an 85-year-old patient who underwent clinical work-up for chronic heart failure, acute coronary syndrome, and pulmonary embolism, until she was diagnosed with a cardiac mass that was histologically identified as sarcoma. The aim of this educational case report is to raise awareness of cardiac masses and to point out diagnostic hints towards a cardiac tumor on chest X-ray, coronary angiography, echocardiography, and chest CT. Moreover, the vital role of cardiac magnetic resonance for the diagnosis of a cardiac mass is highlighted.

摘要

我们报告一例85岁患者,该患者因慢性心力衰竭、急性冠状动脉综合征和肺栓塞接受了临床检查,最终被诊断出患有心脏肿块,经组织学检查确定为肉瘤。本教育性病例报告的目的是提高对心脏肿块的认识,并指出胸部X线、冠状动脉造影、超声心动图和胸部CT检查中提示心脏肿瘤的诊断线索。此外,还强调了心脏磁共振成像在心脏肿块诊断中的重要作用。

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本文引用的文献

1
Cardiac masses and tumours.心脏肿物与肿瘤
Heart. 2016 Aug 1;102(15):1230-45. doi: 10.1136/heartjnl-2014-306364. Epub 2016 Jun 8.
2
The 2015 WHO Classification of Tumors of the Heart and Pericardium.《2015 年世界卫生组织心脏和心包肿瘤分类》。
J Thorac Oncol. 2016 Apr;11(4):441-52. doi: 10.1016/j.jtho.2015.11.009. Epub 2015 Dec 25.
5
Cardiac Masses on Cardiac CT: A Review.心脏CT上的心脏肿物:综述
Curr Cardiovasc Imaging Rep. 2014;7(8):9281. doi: 10.1007/s12410-014-9281-1.
6
Primary malignancies of the heart and pericardium.心脏和心包的原发性恶性肿瘤。
Clin Cardiol. 2014 Sep;37(9):582-8. doi: 10.1002/clc.22295. Epub 2014 Jun 4.
9
Cardiovascular magnetic resonance in pericardial diseases.心包疾病的心血管磁共振成像
J Cardiovasc Magn Reson. 2009 May 4;11(1):14. doi: 10.1186/1532-429X-11-14.

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