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即时超声检查(POCUS)发现的心脏肿瘤和肝脏肿块:在资源有限环境中的意义

A Cardiac Tumor and Liver Masses on Point of Care Ultrasound (POCUS): Implications in a Resource-Limited Setting.

作者信息

Sous Waseem, Limwado George, Ndarama Enoch, Sous Michaela

机构信息

Division of Hospital Medicine, University of California San Francisco, CA USA.

HEAL Initiative, University of California San Francisco, CA USA.

出版信息

POCUS J. 2024 Nov 15;9(2):18-21. doi: 10.24908/pocus.v9i2.17665. eCollection 2024.

Abstract

Malignant cardiac tumors are quite rare, but portend a poor prognosis 1, 2. Early identification and classification are essential given their aggressive nature, particularly when metastases are present 3, 4. Clinical presentations are varied, and detection relies primarily on echocardiography. Thus, cardiac tumors may go undiagnosed in areas where echocardiography is not routinely available 1, 5. In this case, point of care ultrasound (POCUS) rapidly detected a cardiac mass and liver lesions, prompting referral to a central hospital in Malawi for further evaluation. This case highlighted the potential role of POCUS as a readily available tool in a resource-limited setting, serving as a triage point for more definitive diagnosis and management 6, 7, 8.

摘要

恶性心脏肿瘤相当罕见,但预后不佳。鉴于其侵袭性,尤其是存在转移时,早期识别和分类至关重要。临床表现多样,检测主要依靠超声心动图。因此,在超声心动图未常规开展的地区,心脏肿瘤可能无法得到诊断。在此病例中,床旁超声(POCUS)快速检测到心脏肿块和肝脏病变,促使患者被转诊至马拉维的一家中心医院进行进一步评估。该病例凸显了床旁超声在资源有限环境中作为一种随时可用工具的潜在作用,可作为更明确诊断和管理的分诊点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4e/11616798/95786a8bdce5/pocusj-09-02-17665-g001.jpg

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