Niwano Ami, Sasaki Haruka, Takaoka Hiroyuki, Kawasaki Kenji, Atarashi Kentaro, Ikeda Jun-Ichiro, Matsumiya Goro, Matsushita Kazuyuki, Kobayashi Yoshio
Department of Laboratory Medicine, Chiba University Hospital, Chiba, Japan.
Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
J Cardiol Cases. 2022 Sep 9;26(6):404-406. doi: 10.1016/j.jccase.2022.08.010. eCollection 2022 Dec.
Papillary fibroelastoma (PFE) is a rare, slow-growing cardiac tumor. We encountered an 80-year-old man with PFE accidentally revealed by transthoracic echocardiography (TTE) to evaluate cardiac function before a non-cardiac operation. A 10-mm mass lesion adhered to the anterior papillary muscle of the left ventricle, which had not been detected with TTE performed nine months before. Emergency cardiac surgery to remove the mass was performed, and the mass was diagnosed as a PFE. The PFE grew to 10 mm in a maximum of 9 months; to our knowledge, this is the fastest growth of PFE in the left ventricle reported to date.
Papillary fibroelastoma (PFE) is a rare, slow-growing cardiac tumor. The surgical indication of PFE is sometimes controversial. The rapid growth of PFE might be considered as a criterion for surgery because this might result in the rapid progression of symptoms and complications.
乳头肌纤维弹性瘤（PFE）是一种罕见的、生长缓慢的心脏肿瘤。我们遇到一名80岁男性，在非心脏手术前经胸超声心动图（TTE）评估心脏功能时意外发现患有PFE。一个10毫米的肿块附着于左心室前乳头肌，9个月前进行的TTE未检测到该肿块。遂进行了紧急心脏手术切除肿块，术后肿块被诊断为PFE。该PFE在最多9个月内长到了10毫米；据我们所知，这是迄今为止报道的左心室PFE最快的生长速度。
乳头肌纤维弹性瘤（PFE）是一种罕见的、生长缓慢的心脏肿瘤。PFE的手术指征有时存在争议。PFE的快速生长可能被视为手术的一个标准，因为这可能导致症状和并发症的快速进展。
