Koç Murat, Kutsal Ali
Department of Cardiovascular Surgery, Dr. Sami Ulus Maternity and Children?s Training and Research Hospital, Ankara, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Sep 16;26(4):544-549. doi: 10.5606/tgkdc.dergisi.2018.16147. eCollection 2018 Oct.
In this study, we present our 12-year experience in the surgical treatment of primary cardiac tumors in childhood.
Thirteen pediatric patients (8 males, 5 females; mean age 1.3±1.9 years; range, 3 days to 6 years) who were operated for a primary cardiac tumor in our center between January 2005 and December 2017 were included in this study. The data were evaluated retrospectively based on our medical records.
All of the masses resected were benign. However, the most common tumor was rhabdomyoma (n=7), followed by fibroma (n=3), myxoma (n=2), and pericardial teratoma (n=1). The mortality rate was 15.4%, as two patients died in the early postoperative period. No residual mass or tumor recurrence was observed in the early and late postoperative period in the remaining patients.
Although primary cardiac tumors in childhood are usually benign, they may cause clinically significant problems depending on the localization and size of the tumor. Surgical tumor excision is often associated with good long-term outcomes.
在本研究中，我们介绍了我们在儿童原发性心脏肿瘤手术治疗方面的12年经验。
本研究纳入了2005年1月至2017年12月期间在我们中心接受原发性心脏肿瘤手术的13例儿科患者（8例男性，5例女性；平均年龄1.3±1.9岁；范围为3天至6岁）。基于我们的病历对数据进行回顾性评估。
所有切除的肿块均为良性。然而，最常见的肿瘤是横纹肌瘤（n = 7），其次是纤维瘤（n = 3）、黏液瘤（n = 2）和心包畸胎瘤（n = 1）。死亡率为15.4%，因为有2例患者在术后早期死亡。其余患者在术后早期和晚期均未观察到残留肿块或肿瘤复发。
尽管儿童原发性心脏肿瘤通常为良性，但根据肿瘤的位置和大小，它们可能会引起临床上的重大问题。手术切除肿瘤通常会带来良好的长期效果。
