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婴儿三尖瓣乳头状纤维弹性瘤的放射病理学相关性

Radiopathologic correlation of a tricuspid valve papillary fibroelastoma detected in an infant.

作者信息

Artunduaga Maddy, Jadhav Siddharth P, Eldin Karen W, Seery Thomas J, Masand Prakash

机构信息

Department of Radiology, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street Suite 470, Houston, TX 77030.

Department of Pathology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.

出版信息

Radiol Case Rep. 2017 Sep 13;12(4):668-671. doi: 10.1016/j.radcr.2017.08.001. eCollection 2017 Dec.

DOI:10.1016/j.radcr.2017.08.001
PMID:29484045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5823306/
Abstract

Papillary fibroelastomas are benign primary cardiac tumors that usually arise from the valve apparatus and are rare in the pediatric population. Involvement of the tricuspid valve is even less common with only a few cases reported in the literature. Cardiac magnetic resonance imaging is a valuable examination that aids in differentiating a tumor from a thrombus. We present the case of an 11-month-old girl referred by her pediatrician to investigate a murmur noted since birth. To our knowledge, this is the first report of a pathologically proven papillary fibroelastoma arising from the tricuspid valve characterized by magnetic resonance imaging in an infant.

摘要

乳头状纤维弹性瘤是一种良性原发性心脏肿瘤,通常起源于瓣膜结构,在儿科人群中较为罕见。三尖瓣受累更为少见,文献中仅报道了少数病例。心脏磁共振成像(MRI)是一项有助于区分肿瘤与血栓的重要检查。我们报告了一名11个月大女孩的病例,她因出生后即被儿科医生发现心脏杂音而前来就诊。据我们所知,这是首例经病理证实、通过磁共振成像对婴儿三尖瓣乳头状纤维弹性瘤进行特征描述的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67b8/5823306/767686d1972f/radcr314-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67b8/5823306/4a1b75ee9ec6/radcr314-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67b8/5823306/767686d1972f/radcr314-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67b8/5823306/4a1b75ee9ec6/radcr314-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67b8/5823306/767686d1972f/radcr314-fig-0002.jpg

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引用本文的文献

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Cardiac Mass: A Case of Cardiac Papillary Fibroelastoma.心脏肿物:一例心脏乳头肌纤维弹性瘤
Cureus. 2018 Oct 23;10(10):e3482. doi: 10.7759/cureus.3482.

本文引用的文献

1
Papillary fibroelastoma of tricuspid valve in a pediatric patient.三尖瓣乳头状弹力纤维瘤患儿 1 例
Ann Thorac Surg. 2013 Sep;96(3):1078-80. doi: 10.1016/j.athoracsur.2012.12.043.
2
Case 190: papillary fibroelastoma of the pulmonary valve.病例190:肺动脉瓣乳头状纤维弹性瘤
Radiology. 2013 Feb;266(2):680-4. doi: 10.1148/radiol.12110495.
3
Papillary fibroelastoma of the tricuspid valve in a 1-mo-old child.一名1个月大婴儿的三尖瓣乳头肌纤维弹性瘤。
Indian J Pediatr. 2013 Apr;80(4):353-4. doi: 10.1007/s12098-012-0827-4. Epub 2012 Jun 24.
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Echocardiographic, cardiac magnetic resonance imaging, surgical and pathological findings of an unusual right atrial tumor: a giant papillary fibroelastoma.
Ann Thorac Surg. 2012 May;93(5):e133. doi: 10.1016/j.athoracsur.2011.12.057.
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A rare papillary fibroelastoma of the tricuspid valve in a 4-year-old girl.一名4岁女孩患罕见的三尖瓣乳头状纤维弹性瘤。
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Characterization of cardiac tumors in children by cardiovascular magnetic resonance imaging: a multicenter experience.心血管磁共振成像在儿童心脏肿瘤诊断中的特征表现:一项多中心研究经验。
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Gradual enhancement of a large left atrial papillary fibroelastoma on cardiac magnetic resonance: the waiting game.心脏磁共振成像显示左心房大型乳头肌纤维弹性瘤逐渐强化:等待策略
Tex Heart Inst J. 2010;37(5):612-3.
8
Papillary fibroelastoma of the tricuspid valve presenting as neonatal pulmonary haemorrhage.表现为新生儿肺出血的三尖瓣乳头状纤维弹性瘤
Acta Paediatr. 2004 Sep;93(9):1254-6.