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误诊为心房血栓的偶然发现的心脏淋巴管瘤：一例报告。

Incidental cardiac lymphangioma misdiagnosed as atrial thrombus: A case report.

作者信息

Sadeghei Ali, Chaibakhsh Yasamin, Ghadimi Maryam, Hadipoorzadeh Shima, Shahandashti Farshad Jalili, Shojaeifard Maryam, Esmaeili Anahita

机构信息

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Echocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Radiol Case Rep. 2024 May 13;19(8):3136-3140. doi: 10.1016/j.radcr.2024.04.064. eCollection 2024 Aug.

DOI:10.1016/j.radcr.2024.04.064
PMID:38779199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11108840/
Abstract

Cardiac lymphangioma is a characteristically benign primary neoplasm of the heart, previously reported only in a handful of cases. A right atrial lesion was found of a 56-years old healthy male patient. The lesion was surgically excised and identified as cardiac lymphangioma in postoperative pathological analysis. While open surgical tumor resection is preferred in patients with cardiac lymphangioma, preoperative characterization of suspected lesions may warrant conservative management in selected cases.

摘要

心脏淋巴管瘤是一种典型的心脏原发性良性肿瘤，此前仅有少数病例报道。一名56岁健康男性患者被发现右心房有病变。该病变经手术切除，术后病理分析确诊为心脏淋巴管瘤。虽然对于心脏淋巴管瘤患者，开放性手术肿瘤切除是首选，但对于疑似病变的术前特征分析可能需要在特定病例中采取保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb35/11108840/d5443a55a702/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb35/11108840/8839483f1a04/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb35/11108840/d5443a55a702/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb35/11108840/8839483f1a04/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb35/11108840/d5443a55a702/gr2.jpg

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本文引用的文献

1
Multimodality Imaging of Benign Primary Cardiac Tumor.原发性心脏良性肿瘤的多模态成像
Diagnostics (Basel). 2022 Oct 20;12(10):2543. doi: 10.3390/diagnostics12102543.
2
Perigraft hygroma mimicking recurrent angiosarcoma of the right atrium.包裹性血肿，酷似右心房复发性血管肉瘤。
Gen Thorac Cardiovasc Surg. 2022 Feb;70(2):184-189. doi: 10.1007/s11748-021-01737-8. Epub 2021 Nov 17.
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Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature.大网膜囊性淋巴管瘤：一例部分自发消退病例并文献复习
Case Rep Surg. 2020 Jan 28;2020:8932017. doi: 10.1155/2020/8932017. eCollection 2020.
4
The diagnosis and treatment of cardiac lymphangioma: A case report and literature review.心脏淋巴管瘤的诊断与治疗：一例报告及文献复习
Medicine (Baltimore). 2019 Jan;98(2):e14000. doi: 10.1097/MD.0000000000014000.
5
Primary and metastatic cardiac tumors: echocardiographic diagnosis, treatment and prognosis in a 15-years single center study.原发性和转移性心脏肿瘤：一项为期15年的单中心研究中的超声心动图诊断、治疗及预后
J Cardiothorac Surg. 2017 Nov 28;12(1):103. doi: 10.1186/s13019-017-0672-7.
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Cardiac Lymphangioma Encasing Right Coronary Artery in an Infant.婴儿心脏淋巴管瘤包绕右冠状动脉
Ann Thorac Surg. 2017 Sep;104(3):e279-e281. doi: 10.1016/j.athoracsur.2017.04.040.
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Clin Cardiol. 2014 Sep;37(9):582-8. doi: 10.1002/clc.22295. Epub 2014 Jun 4.
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Lymphangioma of the left ventricle.左心室淋巴管瘤。
J Card Surg. 2013 Jan;28(1):24-6. doi: 10.1111/jocs.12037. Epub 2012 Dec 13.
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Surgical treatment for primary mitral valve tumor: a 25-year single-center experience.原发性二尖瓣肿瘤的外科治疗：一项为期25年的单中心经验。
Cardiology. 2011;119(2):81-7. doi: 10.1159/000329918. Epub 2011 Sep 6.
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Primary cardiac tumors.原发性心脏肿瘤
Tex Heart Inst J. 2011;38(3):261-2.