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78 岁有癌症病史患者的心脏肿块:诊断和治疗挑战。

Cardiac Mass in a 78-Year-Old Patient With a History of Cancer: Diagnostic and Treatment Challenges.

机构信息

Department of Pathology and Laboratory Medicine, University of Texas Health Science Center at Houston, Houston, Texas.

Harris County Institute of Forensic Sciences, Houston, Texas.

出版信息

Tex Heart Inst J. 2024 Aug 2;51(2). doi: 10.14503/THIJ-23-8299.

DOI:10.14503/THIJ-23-8299
PMID:39093814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11298980/
Abstract

Primary cardiac angiosarcoma is a rare, aggressive malignancy that commonly metastasizes to various organs. The presenting symptoms are typically nonspecific, so a comprehensive examination is required to confirm the diagnosis promptly. This case report describes the presentation of an older patient with a history of neoplasms. Echocardiography and biopsy were performed, but despite surgical intervention to resect a large right atrial mass, the patient died. A final diagnosis of primary angiosarcoma was made based on the resected specimen.

摘要

原发性心脏血管肉瘤是一种罕见的侵袭性恶性肿瘤,通常转移至多个器官。其临床表现通常是非特异性的,因此需要进行全面检查以尽快明确诊断。本病例报告描述了一位有肿瘤病史的老年患者的临床表现。进行了超声心动图和活检,但尽管进行了手术切除右心房的大肿块,患者仍死亡。根据切除标本的病理检查,最终诊断为原发性血管肉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/36e9615cffab/i1526-6702-51-2-e238299-f07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/a44121f54c04/i1526-6702-51-2-e238299-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/918dd55cef1f/i1526-6702-51-2-e238299-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/00dc5d813be9/i1526-6702-51-2-e238299-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/43e2f8c4f340/i1526-6702-51-2-e238299-f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/564f97460334/i1526-6702-51-2-e238299-f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/347e2de3f594/i1526-6702-51-2-e238299-f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/36e9615cffab/i1526-6702-51-2-e238299-f07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/a44121f54c04/i1526-6702-51-2-e238299-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/918dd55cef1f/i1526-6702-51-2-e238299-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/00dc5d813be9/i1526-6702-51-2-e238299-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/43e2f8c4f340/i1526-6702-51-2-e238299-f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/564f97460334/i1526-6702-51-2-e238299-f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/347e2de3f594/i1526-6702-51-2-e238299-f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/11298980/36e9615cffab/i1526-6702-51-2-e238299-f07.jpg

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引用本文的文献

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本文引用的文献

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Cardiac angiosarcoma: A case report and review of current treatment.心脏血管肉瘤:一例病例报告及当前治疗方法综述
Medicine (Baltimore). 2019 Dec;98(49):e18193. doi: 10.1097/MD.0000000000018193.
2
Approach to Surgery for Cardiac Tumors: Primary Simple, Primary Complex, and Secondary.心脏肿瘤的手术治疗方法:原发性单纯肿瘤、原发性复杂肿瘤和继发性肿瘤。
Cardiol Clin. 2019 Nov;37(4):525-531. doi: 10.1016/j.ccl.2019.07.001. Epub 2019 Aug 27.
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Surgery for Tumors of the Heart.心脏肿瘤手术
Semin Thorac Cardiovasc Surg. 2018;30(4):385-397. doi: 10.1053/j.semtcvs.2018.09.001. Epub 2018 Sep 8.
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Cardiac angiosarcoma: an unexpected diagnosis.心脏血管肉瘤:一个意外的诊断。
Autops Case Rep. 2014 Sep 30;4(3):53-58. doi: 10.4322/acr.2014.029. eCollection 2014 Jul-Sep.
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Cardiac tumors.心脏肿瘤
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Primary cardiac angiosarcoma: a fatal disease.原发性心脏血管肉瘤:一种致命疾病。
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Cardiac angiosarcoma: case report and review of the literature.心脏血管肉瘤:病例报告及文献综述
Z Kardiol. 2005 Dec;94(12):824-8. doi: 10.1007/s00392-005-0296-0.
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Metastases to the heart.心脏转移瘤。
Ann Oncol. 2004 Mar;15(3):375-81. doi: 10.1093/annonc/mdh086.
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Best cases from the AFIP: cardiac angiosarcoma.武装部队病理研究所的最佳病例:心脏血管肉瘤。
Radiographics. 2003 Oct;23 Spec No:S141-5. doi: 10.1148/rg.23si035140.
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