Department of Cardiology, Chamran Cardiovascular Medical and Research Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Chamran Medical and Research Heart Center and Department of Cardiac Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Med Case Rep. 2024 Oct 3;18(1):459. doi: 10.1186/s13256-024-04771-1.
Pericardial cysts, though rare and benign, can present with various clinical symptoms depending on their size and location in the body. The detection of these cysts typically relies on imaging studies for a conclusive diagnosis, with surgical removal being the definitive treatment.
This case report details the clinical journey of a 32-year-old Iranian woman with a family history of breast and lung cancer, who experienced left-sided chest pain. Utilizing a combination of clinical history review, mammography, echocardiography, and computed tomography, a precise diagnosis of a 10 cm × 3.5 cm pericardial cyst was achieved. The patient underwent median sternotomy for complete cyst excision.
While pericardial cysts are often asymptomatic and benign, they can lead to life-threatening complications. Hence, regular follow-up is advised, and in certain instances, minimally invasive interventions or surgery may be necessary.
心包囊肿虽属罕见且良性病变，但因其大小和位置的不同，可表现出多种临床症状。这些囊肿的检测通常依赖于影像学研究以得出明确诊断，手术切除是明确的治疗方法。
本病例报告详细描述了一位 32 岁的伊朗女性的临床经过，她有乳腺癌和肺癌家族史，曾出现左侧胸痛。通过综合临床病史回顾、乳房 X 线摄影术、超声心动图和计算机断层扫描，精确诊断为一个 10 厘米×3.5 厘米的心包囊肿。患者接受了正中胸骨切开术以完全切除囊肿。
尽管心包囊肿通常无症状且为良性，但它们可能导致危及生命的并发症。因此，建议定期随访，在某些情况下，可能需要进行微创介入或手术。
