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一例采用体外循环及升主动脉横断术根治性切除的纵隔血管样纤维组织细胞瘤。

A mediastinal angiomatoid fibrous histiocytoma radically resected with the use of cardiopulmonary bypass and transection of the ascending aorta.

作者信息

Rabelo Luis Gisli, Tolman Christine, Jonsdottir Brynja, Gudbjartsson Tomas

机构信息

Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Cardiothoracic Department, Landspitali-National University Hospital, Reykjavik, Iceland.

出版信息

Interdiscip Cardiovasc Thorac Surg. 2024 Dec 25;40(1). doi: 10.1093/icvts/ivae214.

DOI:10.1093/icvts/ivae214
PMID:39714286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11681935/
Abstract

Angiomatoid fibrous histiocytoma (AFH) is a rare soft tissue tumour that rarely behaves malignant. We report a radical resection of a mediastinal angiomatoid fibrous histiocytoma, which grew invasively into the pulmonary artery wall, was adherent to the posterior aorta and close to the main stem of the left coronary artery. A transection of the aorta was performed using cardiopulmonary bypass and cardioplegic arrest for a safe and radical removal that resulted in symptom relief.

摘要

血管样纤维组织细胞瘤(AFH)是一种罕见的软组织肿瘤,很少表现为恶性。我们报告了一例纵隔血管样纤维组织细胞瘤的根治性切除术,该肿瘤侵袭性生长至肺动脉壁,与主动脉后壁粘连且靠近左冠状动脉主干。在体外循环和心脏停搏下进行主动脉横断,以实现安全的根治性切除,从而缓解症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14e1/11681935/20a075b36af1/ivae214f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14e1/11681935/c6ad2498d85e/ivae214f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14e1/11681935/20a075b36af1/ivae214f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14e1/11681935/c6ad2498d85e/ivae214f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14e1/11681935/20a075b36af1/ivae214f2.jpg

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本文引用的文献

1
Angiomatoid fibrous histiocytoma (AFH) unusual clinical presentation and unique radiological findings.血管周细胞瘤(AFH)不寻常的临床表现及独特的影像学表现。
BJR Case Rep. 2020 Dec 2;7(2):20190069. doi: 10.1259/bjrcr.20190069. eCollection 2021 Apr 1.
2
Angiomatoid fibrous histiocytoma: the current status of pathology and genetics.血管样纤维组织细胞瘤:病理学与遗传学的现状
Arch Pathol Lab Med. 2015 May;139(5):674-82. doi: 10.5858/arpa.2014-0234-RA.
3
Angiomatoid fibrous histiocytoma: unusual sites and unusual morphology.血管肌纤维母细胞瘤:不常见部位和不常见形态。
Mod Pathol. 2011 Dec;24(12):1560-70. doi: 10.1038/modpathol.2011.126. Epub 2011 Aug 5.
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Mediastinal paragangliomas: the mayo clinic experience.纵隔副神经节瘤:梅奥诊所的经验
Ann Thorac Surg. 2008 Sep;86(3):946-51. doi: 10.1016/j.athoracsur.2008.04.105.
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Angiomatoid fibrous histiocytoma in mediastinum.纵隔内的血管外皮细胞瘤样纤维组织细胞瘤。
Ann Thorac Surg. 2001 Jul;72(1):283-5. doi: 10.1016/s0003-4975(00)02567-4.