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起源于左心房的钙化性无定形肿瘤的外科治疗。

Surgical treatment of a calcified amorphous tumor originating from left atrium.

作者信息

Eroğlu Mehtap, Bozgüney Muhammet, Eroğlu Tamer, Açıkgöz Burak

机构信息

Department of Pathology, Niğde Ömer Halisdemir Üniversitesi Faculty of Medicine, Niğde, Turkey.

Department of Cardiovascular Surgery, University of Health Sciences, Kayseri City Hospital, Kayseri, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Apr 24;27(2):224-226. doi: 10.5606/tgkdc.dergisi.2019.17573. eCollection 2019 Apr.

Abstract

Calcified amorphous tumor is a non-neoplastic tumor or intracavitary cardiac mass which is rarely seen in heart. It is frequently associated with left ventricle and mitral valve. Clinical symptoms varies from asymptomatic status to serious neurological and cardiopulmonary symptoms. Imaging studies such as echocardiography, computed tomography, or magnetic resonance imaging can reveal the mass preoperatively, although the exact diagnosis is done by pathological inspection of the specimen. Follow-up is recommended by echocardiography after surgical treatment due to its recurrence potential. Herein, we present a mass attached to the mitral valve posterior leaflet causing rather silent symptoms such as dyspnea and fatigue on exertion.

摘要

钙化性无定形肿瘤是一种非肿瘤性肿瘤或心腔内心脏肿物,在心脏中很少见。它常与左心室和二尖瓣相关。临床症状从无症状状态到严重的神经和心肺症状不等。超声心动图、计算机断层扫描或磁共振成像等影像学检查可在术前发现肿物,不过确切诊断需通过对标本进行病理检查来完成。由于其有复发的可能性,手术治疗后建议通过超声心动图进行随访。在此,我们报告一例附着于二尖瓣后叶的肿物,导致诸如呼吸困难和劳力性疲劳等较为隐匿的症状。

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