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一位有重要肿瘤病史患者的乳头纤维弹性瘤的非典型部位。

Atypical Location of Papillary Fibroelastoma in a Patient With Significant Oncologic History.

作者信息

Makarem Adham, Udeh Patrick, Liquori Carly, Nam Lucy, Sarma Amy, Salik Jonathan, Choy Edwin, D'Alessandro David, Baron Suzanne J, Osho Asishana

机构信息

Division of Cardiac Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.

Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.

出版信息

JACC Case Rep. 2024 Dec 18;29(24):102853. doi: 10.1016/j.jaccas.2024.102853.

DOI:10.1016/j.jaccas.2024.102853
PMID:39822643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11733975/
Abstract

This report discusses the case of a 57-year-old woman with a history of breast cancer and gastric cancer, germline CDH1 gene mutation, who presented to the hospital with syncope. Diagnostic workup revealed a mass in the right ventricular outflow tract. Transcatheter biopsy suggested papillary fibroelastoma, which was confirmed with surgical pathology. This case highlights an atypical presentation of papillary fibroelastoma, which was successfully managed through a multidisciplinary approach.

摘要

本报告讨论了一名57岁女性的病例,该患者有乳腺癌和胃癌病史,存在种系CDH1基因突变,因晕厥入院。诊断检查发现右心室流出道有一个肿块。经导管活检提示为乳头状纤维弹性瘤,手术病理证实了这一诊断。该病例突出了乳头状纤维弹性瘤的非典型表现,通过多学科方法成功进行了治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/2c602a8581ba/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/c9dc18f66a07/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/808d085b89e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/fe32dc6885f3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/b2b6aba289c4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/2c602a8581ba/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/c9dc18f66a07/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/808d085b89e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/fe32dc6885f3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/b2b6aba289c4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f03/11733975/2c602a8581ba/gr4.jpg

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本文引用的文献

1
Operative management of cardiac papillary fibroelastomas.心脏乳头状弹力纤维瘤的手术治疗。
J Thorac Cardiovasc Surg. 2024 Mar;167(3):1088-1097.e2. doi: 10.1016/j.jtcvs.2022.06.022. Epub 2022 Jul 16.
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Cardiac papillary fibroelastoma.心脏乳头肌纤维弹性瘤
J Geriatr Cardiol. 2021 May 28;18(5):346-351. doi: 10.11909/j.issn.1671-5411.2021.05.009.
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Recurrence of Pathologically Proven Papillary Fibroelastoma.病理证实的乳头状纤维弹性瘤复发。
Ann Thorac Surg. 2022 Apr;113(4):1208-1214. doi: 10.1016/j.athoracsur.2021.03.114. Epub 2021 May 19.
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Prognostic and Bioepidemiologic Implications of Papillary Fibroelastomas.乳头状弹性纤维瘤的预后和生物流行病学意义。
J Am Coll Cardiol. 2015 Jun 9;65(22):2420-9. doi: 10.1016/j.jacc.2015.03.569.
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Surgical treatment of cardiac papillary fibroelastoma: a single center experience with eighty-eight patients.心脏乳头状纤维弹性瘤的外科治疗:单中心88例患者的经验
Ann Thorac Surg. 2005 Nov;80(5):1712-8. doi: 10.1016/j.athoracsur.2005.04.030.
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Unusual cardiac papillary fibroelastoma in the right ventricular outflow tract.
Cardiovasc Pathol. 2005 Mar-Apr;14(2):104-6. doi: 10.1016/j.carpath.2005.01.003.
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Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases.心脏乳头肌纤维弹性瘤:725例病例的综合分析
Am Heart J. 2003 Sep;146(3):404-10. doi: 10.1016/S0002-8703(03)00249-7.