左心房恶性纤维组织细胞瘤侵犯右心房
Left Atrial Malignant Fibrous Histiocytoma with Right Atrium Invasion.
作者信息
Toufan-Tabrizi Mehrnoush, Parvizi Rezayat, Reshadati Najmeh, Shokouhi Behrooz
机构信息
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Pathology Department, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Caspian J Intern Med. 2019 Spring;10(2):228-230. doi: 10.22088/cjim.10.2.228.
BACKGROUND
Primary cardiac tumors are rare (0.001 to 0.03%). Malignant tumors account for 25%, of which 75% are cardiac sarcomas.
CASE PERSENTATION
Here, we report a case of a 57-year-old male with palpitation and history of left atrial (LA) myxoma resection presented to cardiology clinic for postsurgical follow up and transthoracic echocardiography revealed a large non-homogenous mass in LA with right atrium invasion, which was confirmed by trans-esophageal echocardiography. The patient underwent surgical resection of tumor and the pathological diagnosis was malignant fibrous histiocytoma (MFH).
CONCLUSION
MFH could be asymptomatic and the diagnosis be established as a surgical or complementary examination. In patients with history of myxoma resection and cardiac masses, further evaluation is recommended.
背景
原发性心脏肿瘤罕见（0.001%至0.03%）。恶性肿瘤占25%，其中75%为心脏肉瘤。
病例介绍
在此，我们报告一例57岁男性，有心悸症状且有左心房黏液瘤切除病史，前往心脏病诊所进行术后随访，经胸超声心动图显示左心房有一个大的不均匀肿块，侵犯右心房，经食管超声心动图证实。患者接受了肿瘤手术切除，病理诊断为恶性纤维组织细胞瘤（MFH）。
结论
MFH可能无症状，可通过手术或辅助检查确诊。对于有黏液瘤切除病史和心脏肿块的患者，建议进一步评估。
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