Zoroufian Arezou, Shirzad Mahmoud, Shahbazi Narges, Saheb Jam Mohammad, Rahnamoun Zahra, Shirani Shapoor, Davarpasand Tahereh
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2020 Jan;15(1):35-38.
Nowadays, the early diagnosis of tumoral diseases is more possible and accurate with multiple diagnostic imaging modalities such as chest X-ray, echocardiography, computed tomography, and magnetic resonance imaging, especially for cardiac tumors which are usually asymptomatic, even in large sizes. In cardiac masses, the patients' presentations are non- specific and dependent on the tumor size and site as well as its compressive effect on the adjacent structures. On the other hand, the first and last signs could be sudden cardiac death. However, cardiac masses are either benign or malignant and metastatic in their malignant type, and their definite diagnosis is only possible by surgical tumor resection and tissue biopsy. In this paper, we describe an old patient with severe pericardial effusion and an unusual intrapericardial tumor in transthoracic echocardiography, representing a rare case of a giant ectopic thymoma after surgical resection and pathologic assessment.
如今，借助多种诊断成像方式，如胸部X光、超声心动图、计算机断层扫描和磁共振成像，肿瘤疾病的早期诊断变得更有可能且更为准确，尤其是对于通常无症状的心脏肿瘤，即便肿瘤体积很大也是如此。在心脏肿块方面，患者的表现并无特异性，而是取决于肿瘤的大小、位置以及其对相邻结构的压迫作用。另一方面，首发和终末症状可能是心源性猝死。然而，心脏肿块要么是良性的，要么是恶性的（恶性类型为转移性），只有通过手术切除肿瘤并进行组织活检才能明确诊断。在本文中，我们描述了一名老年患者，经胸超声心动图显示其有严重的心包积液和一个不寻常的心包内肿瘤，经手术切除和病理评估后发现是罕见的巨大异位胸腺瘤病例。
