Abels Benjamin, Pfeiffer Steffen, Stix Jana, Schwab Johannes
Institute of Radiology and Nuclear Medicine, Paracelsus Medical University, Nuremberg General Hospital, Germany.
Department of Cardiac Surgery, Paracelsus Medical University, Nuremberg General Hospital, Germany.
J Radiol Case Rep. 2017 Nov 30;11(11):11-19. doi: 10.3941/jrcr.v11i11.3194. eCollection 2017 Nov.
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.
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。