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伴有腺性成分的家族性双侧心房心脏黏液瘤:一种罕见实体并文献复习

Familial biatrial cardiac myxoma with glandular elements: A Rare entity with review of literature.

作者信息

Nath Devajit, Arava Sudheer, Ray Ruma, Bhoje Amol Kumar, Saxena Rachit, Chaudhary Shiv Kumar

机构信息

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Pathol Microbiol. 2017 Oct-Dec;60(4):568-570. doi: 10.4103/IJPM.IJPM_211_16.

Abstract

Cardiac myxomas are benign neoplasm of the heart with an incidence of 0.3%. Glandular cardiac myxomas are very rare and accounts for less than 3% of all cardiac myxomas. Here, we report a case of familial glandular cardiac myxoma in a 35 year old male who complained of exertional dyspneoa and weakness of right side of body on clinical presentation. Associated features of Carney's complex were not present. Family history revealed presence of cardiac myxoma in younger brother and sister. Transthoracic echocardiography detected biatrial myxoma. Excision of both lesions was done under cardiopulmonary bypass. Histopathology confirmed myxoma with glandular elements. Postoperative course was uneventful.

摘要

心脏黏液瘤是一种心脏良性肿瘤,发病率为0.3%。腺性心脏黏液瘤非常罕见,占所有心脏黏液瘤的比例不到3%。在此,我们报告一例35岁男性家族性腺性心脏黏液瘤病例,该患者临床表现为劳力性呼吸困难和身体右侧无力。未出现卡尼综合征的相关特征。家族史显示其弟弟和妹妹患有心脏黏液瘤。经胸超声心动图检测到双侧心房黏液瘤。在体外循环下切除了两个病变。组织病理学证实为伴有腺性成分的黏液瘤。术后过程顺利。

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