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右心室流出道内膜肉瘤延伸至主肺动脉：一例报告

Right Ventricular Outflow Tract Intimal Sarcoma Extending into the Main Pulmonary Artery: A Case Report.

作者信息

Al Umairi Rashid, Al Adawi Khadija, Al Qanubi Nahid, Al Shamsi Ruqaiya, Kamel Adel Mohamed, Gokhale Uday Arun

机构信息

Radiology Department, Royal Hospital, Muscat, Oman.

Radiology Residency Training Program, Oman Medical Specialty Board, Muscat, Oman.

出版信息

Oman Med J. 2022 Nov 30;37(6):e443. doi: 10.5001/omj.2022.28. eCollection 2022 Nov.

DOI:10.5001/omj.2022.28
PMID:36458246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9644287/
Abstract

Intimal sarcomas are rare malignant mesenchymal tumors that arise in the large arteries and rarely in the heart. Herein, we report the case of a 55-year-old man who was referred for further assessment of a right ventricular outflow tract mass. Assessment with cardiac magnetic resonance imaging revealed an enhancing mobile mass arising within the right ventricular outflow tract and extending into the main pulmonary artery. The initial diagnostic possibilities included thrombus and myxoma. The patient underwent surgical recession of the mass and the histopathology examination confirmed the diagnosis of cardiac intimal sarcoma.

摘要

内膜肉瘤是一种罕见的恶性间充质肿瘤，发生于大动脉，很少发生于心脏。在此，我们报告一例55岁男性，因右心室流出道肿物接受进一步评估。心脏磁共振成像评估显示，右心室流出道内有一强化的可移动肿物，并延伸至主肺动脉。初步诊断可能包括血栓和黏液瘤。患者接受了肿物手术切除，组织病理学检查确诊为心脏内膜肉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/27a06c8f9f56/OMJ-37-06-2100019-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/4fdda7d0afe8/OMJ-37-06-2100019-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/84b4cd40a2cf/OMJ-37-06-2100019-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/e8d286323298/OMJ-37-06-2100019-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/27a06c8f9f56/OMJ-37-06-2100019-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/4fdda7d0afe8/OMJ-37-06-2100019-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/84b4cd40a2cf/OMJ-37-06-2100019-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/e8d286323298/OMJ-37-06-2100019-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5d/9644287/27a06c8f9f56/OMJ-37-06-2100019-f4.jpg

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本文引用的文献

1
Intimal sarcoma of the left atrium presenting with transient ischaemic attack - A case report and review of the literature.以短暂性脑缺血发作为表现的左心房内膜肉瘤——一例病例报告及文献综述
J Cardiol Cases. 2019 Nov 16;21(3):89-92. doi: 10.1016/j.jccase.2019.10.006. eCollection 2020 Mar.
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Transthoracic Echocardiography: Pitfalls and Limitations as Delineated at Cardiac CT and MR Imaging.经胸超声心动图：心脏CT和MRI所显示的陷阱与局限性
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Primary Intimal Sarcoma of the Left Atrium: An Incidental Finding on Routine Echocardiography.
左心房原发性内膜肉瘤：常规超声心动图检查中的意外发现。
Rare Tumors. 2016 Nov 17;8(4):6389. doi: 10.4081/rt.2016.6389.
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Intimal sarcoma is the most frequent primary cardiac sarcoma: clinicopathologic and molecular retrospective analysis of 100 primary cardiac sarcomas.内膜肉瘤是最常见的原发性心脏肉瘤：100 例原发性心脏肉瘤的临床病理和分子回顾性分析。
Am J Surg Pathol. 2014 Apr;38(4):461-9. doi: 10.1097/PAS.0000000000000184.
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MR imaging of cardiac tumors and masses: a review of methods and clinical applications.心脏肿瘤和肿块的磁共振成像：方法和临床应用综述。
Radiology. 2013 Jul;268(1):26-43. doi: 10.1148/radiol.13121239.
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Cardiac tumors.心脏肿瘤
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Recurrent cardiac intimal (spindle cell) sarcoma of the left atrium.左心房复发性心脏内膜（梭形细胞）肉瘤
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Primary cardiac tumors.原发性心脏肿瘤
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