Department of Thoracic and Cardiovascular Surgery and Department of Pathology, Iida Municipal Hospital, Iida, Japan.
Department of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Japan.
Ann Thorac Surg. 2020 Jul;110(1):e9-e11. doi: 10.1016/j.athoracsur.2019.10.089. Epub 2019 Dec 23.
We report a case of concomitant left ventricular tumor and lung lesion with ground-glass opacity without preoperative confirmation of malignancy. To obtain definitive diagnosis, a wedge lung resection was performed through a median sternotomy. After confirmation of a negative margin by frozen section, the cardiac tumor was resected through a left anterior ventriculotomy. Histopathologic analysis identified a rare cardiac hemangioma and an adenocarcinoma with pTis, N0, M0, stage 0. Postoperative recovery was uneventful with intact cardiopulmonary functions despite the risk of low cardiac output attributable to ventriculotomy.
我们报告了一例左心室肿瘤和肺部磨玻璃影病变同时存在的病例，术前无法确认恶性肿瘤。为了获得明确的诊断，通过正中胸骨切开术进行楔形肺切除术。冷冻切片确认切缘阴性后，通过左前心室切开术切除心脏肿瘤。组织病理学分析确定为罕见的心脏血管瘤和腺癌，TisN0M0，0 期。尽管由于心室切开术存在低心输出量的风险，但术后心肺功能完整，恢复顺利。
