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与钙化性不定形肿瘤相关的脑栓塞:脑梗死病例回顾。

Cerebral Embolism Associated with Calcified Amorphous Tumor: A Review of Cerebral Infarction Cases.

机构信息

Department of Neurology, Mie University Graduate School of Medicine, Japan.

Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Japan.

出版信息

Intern Med. 2021 Jul 15;60(14):2315-2319. doi: 10.2169/internalmedicine.6262-20. Epub 2021 Feb 22.

Abstract

Calcified amorphous tumor (CAT) is a non-neoplastic tumor composed of calcified nodules consisting of amorphous fibrous material, and it may eventually cause cerebral infarction (CI). We experienced a 67-year-old woman with CAT who had recurrent CI. After excision of the CAT, the CI did not show recurrence. A review of previous papers on CI due to CAT in Pubmed revealed that 7 of 13 studies originated in Japan and that CI can occur even with small CAT. Surgical treatment is recommended to prevent CI recurrence, especially when CAT is accompanied by mitral annular calcification or has marked mobility.

摘要

钙化性非典型肿瘤(CAT)是一种非肿瘤性肿瘤,由由无定形纤维物质组成的钙化结节组成,它可能最终导致脑梗死(CI)。我们遇到了一位 67 岁的女性 CAT 患者,她患有复发性 CI。切除 CAT 后,CI 没有复发。对 Pubmed 上因 CAT 导致 CI 的既往文献进行回顾发现,13 项研究中有 7 项来自日本,并且即使 CAT 较小也可能发生 CI。建议进行手术治疗以预防 CI 复发,特别是当 CAT 伴有二尖瓣环钙化或有明显活动性时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818d/8355388/e2d4b04976c5/1349-7235-60-2315-g001.jpg

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