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原发性心脏平滑肌肉瘤从右心房延伸至下腔静脉且无转移：一例报告

Primary Cardiac Leiomyosarcoma Extending From Right Atrium to Inferior Vena Cava Without Metastasis: A Case Report.

作者信息

Chong Jennifer, Richvalsky Tanya, Musuku Sridhar, Samy Sanjay, Nakai Chikashi

机构信息

Cardiothoracic Surgery, Albany Medical Center, Albany, USA.

Anesthesiology, Albany Medical Center, Albany, USA.

出版信息

Cureus. 2024 Nov 16;16(11):e73826. doi: 10.7759/cureus.73826. eCollection 2024 Nov.

DOI:10.7759/cureus.73826
PMID:39687822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649356/
Abstract

A 27-year-old female with a history of acute lymphoblastic leukemia in remission presented with chest pain, liver cirrhosis, and a thrombus in the hepatic vein on ultrasound. Further workup with computed tomography (CT) and magnetic resonance imaging (MRI) revealed a mass extending from the inferior vena cava to the right atrium, 3.4 x 3.4 x 7.0 cm in size. She underwent excision of the intracardiac mass with a full sternotomy and cardiopulmonary bypass successfully. Her postoperative course was uncomplicated. She was discharged home on postoperative day six. Subsequent histopathology confirmed high-grade leiomyosarcoma. Postoperative positron emission tomography CT showed no evidence of metastatic disease.

摘要

一名27岁女性，有急性淋巴细胞白血病缓解病史，出现胸痛、肝硬化，超声检查发现肝静脉血栓。进一步的计算机断层扫描（CT）和磁共振成像（MRI）检查显示，有一个肿块从下腔静脉延伸至右心房，大小为3.4×3.4×7.0厘米。她成功地通过全胸骨切开术和体外循环进行了心内肿块切除术。术后过程顺利。术后第六天出院回家。随后的组织病理学证实为高级别平滑肌肉瘤。术后正电子发射断层扫描CT显示无转移疾病迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e0/11649356/9d25d7cfd09d/cureus-0016-00000073826-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e0/11649356/3cdd9d2317f7/cureus-0016-00000073826-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e0/11649356/992967caf029/cureus-0016-00000073826-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e0/11649356/9d25d7cfd09d/cureus-0016-00000073826-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e0/11649356/3cdd9d2317f7/cureus-0016-00000073826-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e0/11649356/992967caf029/cureus-0016-00000073826-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e0/11649356/9d25d7cfd09d/cureus-0016-00000073826-i03.jpg

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本文引用的文献

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A monster into the heart: an unusual presentation of cardiac leiomyosarcoma.怪物侵入心脏：心脏平滑肌肉瘤的一种不寻常表现。
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Management of a primary cardiac leiomyosarcoma in a young woman.一名年轻女性原发性心脏平滑肌肉瘤的治疗
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Primary left atrial leiomyosarcoma: literature review and lessons of a case.原发性左心房平滑肌肉瘤：文献综述及一例病例的经验教训
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Postradiotherapy intratesticular leiomyosarcoma.放疗后睾丸内平滑肌肉瘤
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