病例报告：一名亚洲女性的心脏转移性平滑肌瘤
Case report: Cardiac metastatic leiomyoma in an Asian female.
作者信息
Li Juan, Zhu Hong, Hu Shuang-Ye, Ren Shang-Qing, Li Xing-Lan
机构信息
Department of Pathology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Chinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, China.
出版信息
Front Surg. 2022 Aug 23;9:991558. doi: 10.3389/fsurg.2022.991558. eCollection 2022.
BACKGROUND
Uterine leiomyomas are the most common gynecological tumors in women of child-bearing age and premenopausal women, while benign metastasizing leiomyomas of the heart are rare.
CASE PRESENTATION
We report a rare case of metastasizing leiomyoma in the heart of a 54-year-old woman 10 years after a uterine leiomyoma was discovered during hysterectomy. Echocardiography, cardiac plain scan and enhanced MRI at presentation showed a soft tissue signal mass in the right ventricle. A large cardiac mass attached to the chordae of the tricuspid valve and later shown to be histopathologically consistent with uterine leiomyoma was successfully resected through a right atriotomy.
CONCLUSIONS
Our case report highlights a rare type of tumor of the heart and suggests that metastasizing leiomyoma should be considered in the differential diagnosis of right-sided cardiac tumors. The complete surgical resection of the tumor was considered to be the best treatment.
背景
子宫平滑肌瘤是育龄期女性和绝经前女性最常见的妇科肿瘤，而心脏良性转移性平滑肌瘤罕见。
病例报告
我们报告1例罕见病例，一名54岁女性在子宫切除术中发现子宫平滑肌瘤10年后出现心脏转移性平滑肌瘤。就诊时超声心动图、心脏平扫及增强MRI显示右心室有一软组织信号肿块。通过右心房切开术成功切除了一个附着于三尖瓣腱索的巨大心脏肿块，术后病理检查显示其与子宫平滑肌瘤一致。
结论
我们的病例报告突出了一种罕见的心脏肿瘤类型，并提示在鉴别诊断右侧心脏肿瘤时应考虑转移性平滑肌瘤。肿瘤完整手术切除被认为是最佳治疗方法。
Zotero 插件