Raphael Kara L, Martinez Anthony P, Clements Stephen D, Isiadinso Ijeoma
Tex Heart Inst J. 2019 Feb 1;46(1):28-31. doi: 10.14503/THIJ-16-5896. eCollection 2019 Feb.
Primary cardiac tumors are rare, and most are benign. Intimal sarcomas are among the rarest of the malignant cardiac tumors; they are aggressive and associated with a poor prognosis. Whereas transesophageal echocardiography has been instrumental in evaluating cardiac masses, other imaging methods, such as cardiac magnetic resonance, have proved invaluable in accurately characterizing these masses. We present the case of a 49-year-old woman in whom we diagnosed a primary intimal sarcoma of the left atrial appendage, and we discuss the importance of multimodal imaging in the evaluation and diagnosis of cardiac masses.
原发性心脏肿瘤很罕见，且大多数为良性。内膜肉瘤是最罕见的恶性心脏肿瘤之一；它们具有侵袭性，预后较差。虽然经食管超声心动图在评估心脏肿物方面发挥了重要作用，但其他成像方法，如心脏磁共振成像，已被证明在准确鉴别这些肿物方面具有极高价值。我们报告了一例49岁女性患者，我们诊断其为左心耳原发性内膜肉瘤，并讨论了多模态成像在心脏肿物评估和诊断中的重要性。
