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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.

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/a44121f54c04/i1526-6702-51-2-e238299-f01.jpg

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