Department of Cardiology, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Department of Pathology, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Asian J Surg. 2023 Nov;46(11):5320-5322. doi: 10.1016/j.asjsur.2023.07.099. Epub 2023 Aug 16.
Primary cardiac tumors are rare but have the potential to cause significant morbidity if not treated in an appropriate and timely manner. To date, however, there have been no studies examining the survival characteristics of patients who did not undergo surgical resection.
We are presenting a case of a 61-year-old male admitted to our department due to "heart tumor''. He had 5+years previous history of type 2 diabetes was, and he took Metformin orally for a long time. Under extracorporeal circulation and general anesthesia, the heart lesion was removed under thoracoscopy. The tumor was about 5 cm ∗ 4 cm pale yellow color and sent for biopsy. Pathology report showed tumor like hyperplasia of fat and striated muscle tissues, some fat cells had atypical hyperplasia.
For patients with malignant tumor, most of them had local invasion or had distant metastasis when the diagnosis was clear, and only conservative management could be done. Moreover, the prognosis of malignant tumor is poor, and the pathological morphology is diverse. The causes of death are due to widespread tumor metastasis, refractory heart failure, and various arrhythmias.
原发性心脏肿瘤虽罕见，但如果不能及时、恰当治疗，有可能导致严重的发病率。然而，迄今为止，尚无研究探讨未行手术切除患者的生存特征。
我们报告一例 61 岁男性，因“心脏肿瘤”收入我科。他有 5 年以上 2 型糖尿病病史，长期口服二甲双胍。在体外循环和全身麻醉下，经胸腔镜切除心脏病变。肿瘤约 5cm×4cm，呈淡黄色，送活检。病理报告显示肿瘤样增生的脂肪和横纹肌组织，部分脂肪细胞有非典型增生。
对于恶性肿瘤患者，大多数在明确诊断时已有局部侵犯或远处转移，只能进行保守治疗。此外，恶性肿瘤预后差，病理形态多样。死亡原因是广泛的肿瘤转移、难治性心力衰竭和各种心律失常。
