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肥厚型心肌病的肿瘤样表型:心脏磁共振成像的作用

Tumoral Phenocopies of Hypertrophic Cardiomyopathy: The Role of Cardiac Magnetic Resonance.

作者信息

Bombace Sara, My Ilaria, Francone Marco, Monti Lorenzo

机构信息

Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, 20071 Milan, Italy.

IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, 20089 Milan, Italy.

出版信息

J Clin Med. 2021 Apr 14;10(8):1683. doi: 10.3390/jcm10081683.

Abstract

Hypertrophic cardiomyopathy (HCM) is a genetic cardiac disease that presents with cardiac hypertrophy. HCM phenocopies are clinical conditions that are phenotypically undistinguishable from HCM, but with a different underlying etiology. Cardiac tumors are rare entities that can sometimes mimic HCM in their echocardiographic appearance, thus representing an example of HCM phenocopy. At present, only case reports of tumoral HCM phenocopies can be found in literature. In this systematic review, we analyzed all the published cases in which a cardiac tumor mimicked HCM to the point of misleading the diagnosis, providing a structured overview of the currently available evidence on this topic.

摘要

肥厚型心肌病(HCM)是一种表现为心肌肥厚的遗传性心脏病。HCM表型模拟是指临床状况在表型上与HCM无法区分,但潜在病因不同。心脏肿瘤是罕见的疾病,有时在超声心动图表现上可模仿HCM,因此是HCM表型模拟的一个例子。目前,文献中仅能找到肿瘤性HCM表型模拟的病例报告。在本系统评价中,我们分析了所有已发表的病例,其中心脏肿瘤模仿HCM达到误导诊断的程度,提供了关于该主题当前可用证据的结构化概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971f/8070813/35913a0fa451/jcm-10-01683-g001.jpg

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