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一例左心室马松瘤:并非所有心脏肿瘤都是黏液瘤。

A Case of Left Ventricular Masson's Tumor: Not Every Heart Tumor Is a Myxoma.

作者信息

Panama Gabriel, Martinez Adolfo, Yavari Majid, Saeed Al-Asad Khalid, Hanson Christopher

机构信息

Internal Medicine, Michigan State University, East Lansing, USA.

Internal Medicine, Michigan State University, Lansing, USA.

出版信息

Cureus. 2023 Jun 8;15(6):e40113. doi: 10.7759/cureus.40113. eCollection 2023 Jun.

Abstract

Masson's tumor is a benign tumor that usually arises secondary to vascular trauma or thrombi, leading to vascular proliferation. Masson's tumors are most commonly reported in the head, neck, and extremities. Cases in the heart are exceedingly rare, with most case reports describing the left atrium as the most common location. Even though the tumor is benign, excision is recommended due to the risk of embolization. This is a case of Masson's tumor located in the left ventricle. The patient is a 24-year-old female, who presented complaining of palpitations and lightheadedness. Transthoracic echocardiography showed a mobile echodensity in the left ventricle. Cardiac MRI showed characteristics similar to a myxoma. The patient underwent surgical resection and a biopsy showed Masson's tumor. This case report focuses on the histopathological features and imaging findings of Masson's tumor.

摘要

马松氏瘤是一种良性肿瘤,通常继发于血管创伤或血栓形成,导致血管增生。马松氏瘤最常报道于头、颈和四肢。心脏病例极为罕见,大多数病例报告描述左心房是最常见的部位。尽管该肿瘤是良性的,但由于存在栓塞风险,仍建议进行切除。这是一例位于左心室的马松氏瘤病例。患者为一名24岁女性,主诉心悸和头晕。经胸超声心动图显示左心室有一个活动的回声密度。心脏磁共振成像显示出与黏液瘤相似的特征。患者接受了手术切除,活检显示为马松氏瘤。本病例报告重点关注马松氏瘤的组织病理学特征和影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e590/10321029/0de1a782fede/cureus-0015-00000040113-i01.jpg

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